Job Summary
A health insurance company is in need of a Telecommute Value Based Risk Management Senior Capability Analyst.
Core Responsibilities Include:
- Leading and / or supporting program / Claims initiatives under the Value-based Risk Management program
- Delivering components of the capability / program
- Ensuring alignment and understanding of program / project scope and objectives
Position Requirements Include:
- 1+ years of project management, business analysis and or product management within medical claims and payment
- Experience with COSMOS, NICE, CSP Facets or other medical claims system platforms
- Experience with claims delegation, encounter or capitation platforms
- Experience with process improvement, workflow, benchmarking and / or evaluation of business processes
- Experience in gathering and evaluating requirements and also writing and translating business requirements
- Intermediate level of experience with Microsoft Office products, such as Excel or Visio
