Cost Containment and MLR Optimization Program Lead
W@H South Carolina, United States
USD 57K-110K (estimate) Senior-level Full Time
Tasks
- Analyze and validate outcomes
- Assess program impact
- Conduct cost-benefit analyses
- Conduct feasibility analyses
- Design ROI reporting
- Develop health management programs
- Ensure program policy compliance
- Ensure state and federal law compliance
- Establish clinical outcomes reporting
- Establish utilization reporting
- Evaluate health management programs
- Implement health management programs
- Maintain health management programs
- Monitor URAC case management standards
- Oversee budgets
- Perform market research
- Prepare health management presentations
- Provide leadership and staff training
- Provide strategic reporting direction
- Track program efficacy
Perks/Benefits
- 401k match
- Dental coverage
- Education assistance
- Life insurance
- National discounts
- Paid time off
- Service recognition
- Subsidized health plans
- Vision coverage
Skills/Tech-stack
Behavioral health | Budgeting | Case management | Customer Service | Data Analysis | Disease management | Forecasting | Healthcare policy | Market Research | Microsoft Excel | Microsoft Office | Population Health | Presentation Skills | Programming | ROI analysis | Research | SAS | Tableau | Utilization management | Verbal communication | Written communication
Education
Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
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