Job Summary
We are seeking a highly skilled Consulting Analyst with 8 to 11 years of experience specializing in the Payer domain. The ideal candidate will work in a hybrid model primarily during the day shift. This role does not require travel. The Consulting Analyst will play a crucial role in analyzing and optimizing payer processes contributing to the companys mission of improving healthcare outcomes.
Responsibilities
Analyze payer processes to identify areas for improvement and optimization.Provide detailed reports and recommendations based on data analysis to enhance payer operations.Collaborate with cross-functional teams to implement process improvements and ensure alignment with organizational goals.Develop and maintain strong relationships with stakeholders to understand their needs and provide tailored solutions.Utilize advanced analytical tools and techniques to gather interpret and present data effectively.Monitor and evaluate the effectiveness of implemented changes and make necessary adjustments.Ensure compliance with industry regulations and standards in all payer-related activities.Conduct regular audits and assessments to identify potential risks and areas for improvement.Support the development and implementation of new payer strategies and initiatives.Provide training and guidance to team members on best practices and industry trends.Stay updated with the latest developments in the payer domain and incorporate relevant insights into the analysis.Contribute to the continuous improvement of processes and methodologies within the team.Communicate findings and recommendations clearly and effectively to both technical and non-technical stakeholders.
Qualifications
Possess a strong background in the payer domain with at least 8 years of relevant experience.Demonstrate proficiency in advanced analytical tools and techniques.Exhibit excellent communication and interpersonal skills.Show a proven track record of successfully implementing process improvements.Have a deep understanding of industry regulations and standards.Display strong problem-solving and critical-thinking abilities.Be capable of working independently and as part of a team.Maintain a high level of attention to detail and accuracy.Be adaptable to changing priorities and able to manage multiple tasks simultaneously.Hold a relevant certification such as Certified Health Data Analyst (CHDA) or equivalent.Show commitment to continuous learning and professional development.Demonstrate the ability to provide training and mentorship to team members.Exhibit strong project management skills and the ability to meet deadlines.