Healthcare Payer SME

Chicago, IL. Posted 3 years ago

Rise Corp Inc
Posted By
Chaitanya Kumar
10 Months
Start Date
Tech Category
5 - 10 Years
Tech Sub-Category
Business Analyst
Work Permit
Any Work Permit encouraged to apply
Tax Terms

Job Description

Pay: $80/hr on C2C Location: Washington DC or Chicago, IL Length: 10 months Client: Blue Cross/Blue Shield Responsibilities: Exercises a strong understanding of healthcare services and offerings (Disease Management, Case Management, Pharmacy, Prevention and Wellness), benefits consulting, competitive intelligence, and client side challenges to improve health and positively impact affordability Conducts periodic meetings with client management or assigned staff to review program participation status and suggest solutions to meet client goals & objectives. Analyze data in order to provide client specific recommendations on utilization of benefits, health promotion strategy and other client products and services Demonstrates effective technical, analytical, relationship and communication skills with client contacts, vendor partners, and internal contacts to meet and exceed segment goals and objectives Keeps abreast of best practices in healthcare payer market trends, activities, products of competitors and legislative changes. Requirements: * Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience * Requires 15+ years of healthcare Payer industry experience. 5 to 10 years experience in Health Care (managed care, academic, or gov"t payer), 5 or more years experience as a Health Data Analyst, or related role in a health care setting. * Requires mastery of clinical coding, clinical treatment, large-scale health databases, health statistics, program evaluation methods, data management methods, quality measurement methods, health insurance business principles, general business/finance principles. * Must be able to multi-task under tight deadline * Analytical skills, including data analysis * Ability to think strategically * Excellent communication, oral and written skills (including strong listening skills) Care management, product, benefit, and healthcare industry knowledge
Key Skills
analytical skills communication data analysis health services research program evaluation public health statistics written skills

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