One of the 15 largest US health systems, Mercy serves millions annually with nationally recognized care.

Managed Care Consultant

ConsultantConsultantFull TimeRemoteTeam 10,001+Since 1886Company Site LinkedIn

Location

Oklahoma + 1 more

Posted

19 days ago

Salary

Not specified

Bachelor Degree3 yrs expEnglish

Job Description

• knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance • contract language review and contract analysis • strong analytical mind, with problem-solving skills, an aptitude for accuracy, and attention to detail • knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO, fee for service and value base agreements • Experience in successful operationalizing managed care contracts

Job Requirements

Minimum Required Education: Bachelor's Degree in Business Administration, management or healthcare-related field
Experience: A minimum of 3 years' experience in or working with Managed Care
Strong working knowledge of health plan business functions and activities
Strong analytical and problem-solving skills
Demonstrated ability to work independently and manage multiple projects simultaneously
Strong oral and written communication skills; ability to interact within all levels of the organization
Ability to structure and visualize information to drive decision-making and execution
Familiarity with healthcare, particularly Medicaid, Commercial and/or Medicare managed care