Hybrid Senior Provider Contract/CofC Consultant

Posted 4 hours ago

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About the role

  • Senior Consultant providing high-level analytical support to healthcare Cost of Care and Provider Contracting organizations. Focused on regulatory reporting and data compliance with extensive collaboration.

Responsibilities

  • Provide the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations
  • Lead efforts to support regulatory reporting requirements for government entities and regulatory bodies
  • Gather, consolidate, analyze, and submit data to ensure compliance with healthcare expenditure regulations
  • Serve as a subject matter expert for regulatory reporting
  • Collaborate with various teams to gather and interpret requirements
  • Retrieve, consolidate, and collate data from multiple data warehouses to produce comprehensive reports
  • Develop complex reporting applications and strategic data solutions
  • Undertake complex assignments requiring specialized technical knowledge
  • Establish and communicate common goals and directions for team
  • Monitor project schedules and costs for own and other projects
  • Conduct training on use of applications developed

Requirements

  • BA/BS degree in Mathematics, Statistics or related field
  • minimum of 7 years experience in broad-based analytical, managed care payor or provider environment
  • in-depth experience in statistical analysis and modeling
  • experience in data analysis, reporting, or related areas
  • expertise in data management tools, business information applications, and programming/query languages (SQL and/or SAS)
  • Python/R is highly preferred
  • comprehensive provider-level knowledge
  • understanding of taxonomy, alternate payment models (e.g., capitation), and value-based care reimbursement systems
  • ability to communicate effectively with multiple levels within the organization

Benefits

  • Paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical benefits
  • dental benefits
  • vision benefits
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • wellness programs
  • financial education resources

Job title

Senior Provider Contract/CofC Consultant

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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