PR
Change Management Consultant at Prosci LATAM leading strategic change projects across diverse industries. Involves designing change strategies and facilitating sessions with executives.
About the role
- 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
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