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Healthcare Business Consultant

svjdnwzkulao5hqo7t0ifgvj8s71sf01d7dtgdstyhdixakxt6ty85zljsdyhgz2 · 30+ days ago

Chicago, IL, US

$67k+
Estimation

Full-time

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5 to 10 years of experience working in a healthcare organization providers or payors
2+ years of experience working in a management consulting organization (big 4 preferred)
5+ years of Healthcare experience in any of the following:
Government Programs, PBM, Clinical Health Management, Core Administer Delivery, Program Management, Product Management, or Network Management
2+ years of experience in one or more of the following:
Operational business process improvement, business process analysis, benchmark analysis or workflow analysis
Ability to work on claims with different LOBs such as Commercial, Medicare, Medicaid etc
Good understanding on the lifecycle of claims adjudication
Possess good exposure on the various claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.
Exposure to Facets claims adjudication is an advantage
Exposure to ITS claims and duals is an advantage

•

Last updated on Oct 6, 2023

About the company

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svjdnwzkulao5hqo7t0ifgvj8s71sf01d7dtgdstyhdixakxt6ty85zljsdyhgz2

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