Healthcare Operations Strategist
21 hours ago
About the Role
">CareSource is seeking a skilled Healthcare Operations Strategist to join our team. In this role, you will be responsible for investigating opportunities for contracting improvements and quality affordable initiatives (QAI) with existing partners.
">You will identify areas for operational optimization, issues related to reimbursement, and recommend appropriate solutions. This includes generating and analyzing queries or reports for analysis.
">As a key member of our team, you will proactively collaborate with all teams to support contracting decisions, reimbursement policy alignment, and resolution of complex reimbursement issues.
">You will provide strategic direction to support Enterprise/Market QAI strategies and identify and translate into action plans industry best practices for provider reimbursement.
">Your expertise will be essential in developing and providing actionable recommendations to senior management relative to all analysis and/or ad hoc reporting.
">In addition, you will ensure all governing body regulations are adhered to at all times for existing and future lines of business.
">This role requires strong analytical skills, attention to detail, and effective communication skills. You must be able to work independently and within a team environment with limited guidance.
">We are looking for a motivated individual who can effectively report data, analyze facts, and exercise sound business judgment when making recommendations.
">Required Skills and Qualifications
">• Bachelor's degree or equivalent years of relevant work experience required
">• Master's or other advanced degree in related field preferred
">• Minimum of four (4) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis required
">• Provider contracting experience preferred
">• Managed Care or healthcare experience preferred
">Benefits
">CareSource offers a comprehensive total rewards package that includes a salary range of $79,800.00 - $127,600.00 per year.
">Compensation Type: Salary
">Competencies: Create an Inclusive Environment, Cultivate Partnerships, Develop Self and Others, Drive Execution, Influence Others, Pursue Personal Excellence, Understand the Business
">We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
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