Certified Mobility Consultant managing sales and customer relationships for MobilityWork. Influencing market presence and adapting offerings by understanding competition.
About the role
- Provider Contract Cost of Care Consultant providing analytical support to improve healthcare costs and provider relations. Requires extensive experience in analytics and healthcare modeling in a hybrid environment.
Responsibilities
- Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues
- Works on large scale initiatives with high dollar cost savings opportunities
- Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process
- Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals
- Supports a full range of contract arrangements and pricing mechanisms
- Works on complex enterprise-wide initiatives and acts as project lead
- Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process
- Types of analyses include performing sophisticated retrospective data analytics; building new and modifying existing complex models to create predictive impact decision making tools
- Recommends policy changes and claim's system changes to pursue cost savings
- Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable
- Recommends standardized practices to optimize cost of care
- Educates provider contractors on contracting analytics from a financial impact perspective
- May recommend alternative contract language and may go on-site to provider premises during contract negotiations
- Participates on project team involved with enterprise wide initiatives
- Acts as a source of direction, training and guidance for less experienced staff
Requirements
- Requires BS/BA degree in Mathematics, Statistics, or related field
- minimum of 5 years experience in broad-based analytical, managed care payor or provider environment
- considerable experience in statistical analysis and healthcare modeling
- Master's degree preferred
- Proficiency with Snowflake, SAS, SQL and Excel is strongly preferred
- Experience with Tableau is preferred
- Experience with Value-based programs preferred
- Health Economics background strongly preferred
- Healthcare background strongly preferred
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Tech skills
Location requirements
Principal Cyber Security Risk & Audit Consultant at an IT Services Consultancy partnering with public and private sectors. Driving cyber security audits and risk management frameworks for operational resilience.
Senior Transformation Consultant driving project performance for Highmark Health. Engaging with clients to enhance business operations across healthcare sectors.
Enterprise Change Management Consultant at Elevance Health overseeing change management for business initiatives. Collaborating across teams to ensure user adoption and effective transformation strategies.
New Patient Consultant assisting families to initiate their fertility journey at CCRM. Acting as a liaison between patients and healthcare providers during the onboarding process.
Consultant(e) en stratégie et transformation chez Stanwell. Développement d'écosystèmes de start - ups et accompagnement des transformations stratégiques des entreprises.
Client Relationship Consultant engaging with customers to provide financial counsel and support. Building relationships through communication and understanding banking needs to foster client trust.
Building Consultant managing domestic and commercial subsidence claims in London/Southeast. Role involves diagnosis, mitigation, and effective repair techniques as part of the Subsidence Services Division.
Consultant helping public sector clients achieve financial goals through Euna Budget Pro software solutions. Engage in various client projects centered on business process optimization and implementation.
Senior Solution Consultant driving consultative prospect engagements in the legal sector. Responsible for technical evaluations and solutions with enterprise software platforms.