DescriptionThe Market Consultation/Partnership Professional 2 promotes and improves the quality and measurement of care delivery programs with a market(s). The Market Consultation/Partnership Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Market Consultation/Partnership Professional 2 engages and partners with physicians, physician groups, and market leadership to drive initiatives. Influences and consults on matters related to quality and measurement of care delivery programs with a market(s). Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
- Bachelor’s Degree in Business, Finance, Healthcare or a related field
- Prior longevity in a claims processing and/or billing
- Comprehensive knowledge in Risk Adjustment
- Proficiency with Microsoft Office
- Experience with Claims Administration System, Electronic Medical Records (EMR), or Practice Management Systems.
- Master’s Degree in Business Administration or a related field
- Prior group implementation and/or project management experience
- Six Sigma certification
Scheduled Weekly Hours40