Managed Care Consultant
Job Description:
• knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance
• contract language review and contract analysis
• strong analytical mind, with problem-solving skills, an aptitude for accuracy, and attention to detail
• knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO, fee for service and value base agreements
• Experience in successful operationalizing managed care contracts
Requirements:
• Minimum Required Education: Bachelor's Degree in Business Administration, management or healthcare-related field
• Experience: A minimum of 3 years' experience in or working with Managed Care
• Strong working knowledge of health plan business functions and activities
• Strong analytical and problem-solving skills
• Demonstrated ability to work independently and manage multiple projects simultaneously
• Strong oral and written communication skills; ability to interact within all levels of the organization
• Ability to structure and visualize information to drive decision-making and execution
• Familiarity with healthcare, particularly Medicaid, Commercial and/or Medicare managed care
Benefits:
• medical, dental, and vision coverage
• paid time off
• tuition support
• matched retirement plans for team members working 32+ hours per pay period
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• knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance
• contract language review and contract analysis
• strong analytical mind, with problem-solving skills, an aptitude for accuracy, and attention to detail
• knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO, fee for service and value base agreements
• Experience in successful operationalizing managed care contracts
Requirements:
• Minimum Required Education: Bachelor's Degree in Business Administration, management or healthcare-related field
• Experience: A minimum of 3 years' experience in or working with Managed Care
• Strong working knowledge of health plan business functions and activities
• Strong analytical and problem-solving skills
• Demonstrated ability to work independently and manage multiple projects simultaneously
• Strong oral and written communication skills; ability to interact within all levels of the organization
• Ability to structure and visualize information to drive decision-making and execution
• Familiarity with healthcare, particularly Medicaid, Commercial and/or Medicare managed care
Benefits:
• medical, dental, and vision coverage
• paid time off
• tuition support
• matched retirement plans for team members working 32+ hours per pay period
Apply Now
Apply Now