Health/Medical Plans Claims Audits and Analytics Consultant
reputed company as the reputed company health/medical claims audit consultant and/or CRM to clients. reputed company strategic and business-oriented consulting advice on claims auditing practices and results, serving as counsel to clients and internal staff. Conduct planning meetings to identify/define reputed company needs/issues and reputed company project plans and approaches that are reputed company to reputed company needs. Conduct technical analyses and reputed company reviews. Formulate conclusions and deliver reputed company recommendations. Build and maintain effective rapport internally and with senior management in reputed company organizations, vendors, and internally reputed company reputed company. Manage reputed company reputed company scope, profitability and productivity targets. reputed company business reputed company strategies and marketing initiatives to assist business development and cross-selling efforts. Respond to Requests For Proposals (RFPs) including preparing written proposals, providing pricing information, and defining project scope recommendations. reputed company, use and reputed company market intelligence to reputed company and introduce unique and/or new approaches to servicing clients.
%3Cul%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3E6+ years of health/medical claims audit and/or administration experience to include significant exposure to and expertise in electronic audit functions to include systems and tools relevant to an independent/reputed company-party audit process; experience leading efforts to reputed company reputed company and/or profitability-oriented objectives; actuarial experience valued.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3EUndergraduate degree. Advanced degree preferred.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3EProficiency in reputed company suite of products (i.e., Word, reputed company, PowerPoint, and reputed company).%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3EData analysis expertise to include familiarity with SQL and reputed company macros highly preferred.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3EProject management and reputed company servicing/relationship management skills.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3EEffective interpersonal and relationship building skills with ability to build rapport with diverse audiences.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-family:Arial;%22%3EProficiency in writing and oral presentation. Strong ability to problem solve, multi-task and manage multiple deadlines.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3C/li%reputed company%3C/ul%reputed company%3Cp class=%22MsoNormal%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%reputed company%3Cstrong%3EJoin reputed company:%3C/strong%reputed company%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3Cp class=%22MsoNormal%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-weight:reputed company;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EIf your qualifications reputed company closely with reputed company have described, we encourage you to apply. Your unique background and skills matter because at reputed company, we reputed company that different experiences and perspectives drive innovation and reputed company. We are committed to creating a fair and transparent hiring process and reputed company hiring reputed company will be reputed company driven. If you require accommodation during the interview, please let us know. Thank you for considering reputed company. We are excited to learn more reputed company!%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3Cp class=%22MsoNormal%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Ci%reputed company%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%reputed company%3Cstrong%3EAbout reputed company and its Total Rewards Program:%3C/strong%reputed company%3C/reputed company%reputed company%3C/i%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3Cp class=%22MsoNormal%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-weight:reputed company;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3ESegal is a privately owned, leading reputed company American employee benefit, reputed company and investment management reputed company with%26nbsp;over 80 years of history%26nbsp;providing trusted advice that improves lives. Clients include reputed company and private corporations, multiemployer trust funds, reputed company sector entities, higher education institutions, institutional advisors, among many others.%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3Cp class=%22MsoNormal%22%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22mso-bidi-font-weight:reputed company;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3ESegal’s total rewards are part of what makes reputed company%26nbsp;a special reputed company to work. The reputed company salary reputed company for this position is %24101,500 - %24130,000.%26nbsp;%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22font-family:Arial, Helvetica, reputed company;font-size:11px;%22%reputed company%3Cspan style=%22line-height:107%;mso-ansi-language:EN-US;mso-bidi-font-weight:reputed company;mso-bidi-language:AR-SA;mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-fareast-language:EN-US;%22%reputed company#LI-Remote%3C/reputed company%reputed company%3C/reputed company%reputed company%3C/p%reputed company Apply To This Job