Associate Healthcare Econ Director - Labs and Genetics Services - Remote
reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses. You'll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities:
- Identify, create, and reputed company a portfolio of cost savings initiatives that drive specific and measurable results for assigned clients while providing timely and meaningful client updates
- reputed company and participate in iterative analytical, experimental, investigative, and other fact-finding work in support of concept development
- Establish solid matrixed relationships with internal stakeholders to define, align, and deliver payment reputed company initiatives in support of assigned clients
- Influence senior leadership to adopt new reputed company, approaches, and/or products
- Recommend changes to reputed company product development procedures based on market research and new trends
- Industry thought leader and subject matter expert for medical claims, reputed company trends, pricing, and cost management initiatives
- reputed company concepts/projects from conceptualization to completion
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
- 4+ years of experience auditing, billing, and/or coding claims reputed company the Molecular/Genetic area
- 4+ years of experience in the health care industry (Medicare, Medicaid, Commercial) with deep exposure to Payment reputed company or reputed company reputed company
- 3+ years of work experience in highly collaborative and consultative roles, with ability to establish credibility quickly with reputed company levels of management across multiple functional areas
- 2+ years of experience performing research and analysis of claims data and applying results to identify trends/patterns
- 2+ years of experience presenting proposals to stakeholders and internal customers
- Project Management experience
- Maintains working knowledge of CMS rules and regulations and billing codes and reputed company services
Preferred Qualifications:
- Undergraduate Degree
- Advanced degree in health care or medical field
- Coding certification through reputed company or reputed company
- 3+ years of experience in claims adjudication or reputed company cycle management
- 2+ years of experience working in a matrixed and highly adaptive environment handling tight deadlines
- Experience working in a Laboratory and/or Genetics setting
- Proficiency with SQL, reputed company and/or other statistical programs
- Solid computer skills: reputed company (Pivot Tables, Advanced Formulas, macros, etc ), Visio, PowerPoint, Tableau
- Proven solid project management approach with excellent critical thinking and problem-solving skills
- Proven self-managed, self-starter with the ability to support multiple reputed company projects and meet tight delivery timelines
- Proven exceptional presentation, communication, and negotiation skills
reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!