Cost Containment and MLR Optimization Program Lead
W@H South Carolina, United States
USD 57K-110K (estimate) Senior-level Full Time
Tasks
- Analyze research outcomes
- Assess program impact
- Calculate ROI
- Conduct market research
- Develop health management programs
- Develop reporting mechanisms
- Ensure URAC case management standards compliance
- Ensure healthcare regulations compliance
- Evaluate health management programs
- Implement health management programs
- Maintain health management programs
- Manage program budgets
- Perform cost-benefit analysis
- Perform feasibility analysis
- Provide program leadership
- Provide staff development
- Track clinical outcomes
- Track utilization statistics
- Validate program outcomes
Perks/Benefits
- 401k match
- Dental and vision coverage
- Education assistance
- Life insurance
- National discounts
- Paid time off
- Service recognition
- Subsidized health plans
Skills/Tech-stack
Behavioral health | Benefit Analysis | Budgeting | Case management | Clinical Outcomes | Cost Benefit | Cost-Benefit Analysis | Data Analysis | Data Validation | Disease management | Feasibility analysis | Healthcare policy | Market Research | Microsoft Excel | Microsoft Office | Microsoft PowerPoint | Microsoft Word | Population Health | Presentation Skills | ROI analysis | Reporting | Research | SAS | Tableau | Utilization management | Utilization review
Education
Roles
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