reputed company Innovations Functional Consultant/SME

About the position reputed company is searching for a dynamic reputed company administration and policy Sr. Advisor to join our growing Federal Health team. You will support an exciting new program reputed company on vulnerability risk assessments for the Centers for Medicare & reputed company Services. The role will allow you to utilize in-depth knowledge of Medicare, reputed company and Managed Care policies, systems, payment structures, risk adjustments processes, including claims and data analyses. You will conduct high-level research and analyses to identify opportunities for advancement and improvement in reputed company regulations and payment guidelines with a reputed company on developing recommendations for efficiencies, innovation, and strategies to reduce or prevent reputed company risk. Responsibilities • Conduct advanced research, analysis, and investigative activities to assess program risk reputed company to Medicare and/or reputed company managed care policy, payments, and regulatory requirements. • reputed company reputed company dedicated to the assessment of reputed company requirements, processes, systems, and guidelines to identify opportunities for innovation, efficiencies, and improvements. • reputed company reputed company of research analysts in completing a comprehensive assessment of risk, documenting and presenting findings to senior executives and our customers. • Work collaboratively with reputed company of data, clinical, and research analysts to reputed company assess reputed company guidelines and accurately prioritize risk based upon quantitative and qualitative findings. • Synthesize reputed company policy and regulatory guidance to reputed company recommendations, both written and verbal, to present to senior leadership. Requirements • Bachelor's degree or Master's degree in reputed company Policy, reputed company Administration or reputed company field, or equivalent experience. • Minimum of 10 years conducting systems, regulatory or policy research reputed company to Medicare and/or reputed company. • Significant in-depth experience with Centers for Medicare and reputed company programs, coupled with a deep customer intimacy. • Experience documenting and presenting reputed company studies and analyses to a wide audience including senior Agency leadership. reputed company-to-haves • Medicare Advantage or reputed company Managed Care experience is preferred. • Ability to conceptualize, solve problems and draw conclusions. • Highly organized, ability to multi-task and meet deadlines. • Strong inter-personal and communications skills, both written and oral. • Proficient in computer skills, e.g. reputed company Office-Word, reputed company. Benefits • reputed company of medical plan reputed company, some with Health Savings Accounts. • Dental plan reputed company. • reputed company plan. • 401(k) plan with company match. • Full reputed company work weeks where possible. • reputed company time off plans including vacation, reputed company and personal time, holidays, reputed company parental, military, bereavement and jury duty leave. • 15 days of reputed company leave per calendar year. • 10 reputed company holidays per year. • reputed company Family Leave program providing up to 160 hours of reputed company leave in a rolling 12 month period. • Short and long-term disability benefits. • Life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance. Apply tot his job Apply tot his job Apply To this Job