Senior Strategic Advisor, Medicare

Job Summary

A company is looking for a Senior Strategic Advisor, Healthcare.

Key Responsibilities

• Support interpretation and application of Medicare payment and reimbursement policies
• Collaborate with various teams to ensure compliance and operational alignment with CMS guidance
• Provide strategic advisory input on reimbursement risks and implications

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field
• 5 years of relevant experience in Medicare Advantage and reimbursement
• Strong knowledge of CMS Medicare Advantage payment regulations
• Experience in a matrixed or shared-services environment
• Understanding of claims adjudication logic and provider payment methodologies