Specialist - Payors

MCKINSEY & COMPANY, INC. UNITED STATES

Cleveland, OHJobSeen todaySeen in employer's feed today

Cleveland, OHJobNo compensation foundSeen todaySeen in employer's feed today

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At a glance

Compensation

No compensation found

Location

Cleveland, OH

Work Authorization

Not specified

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Requirements

Credentials this posting asks for.

Bachelor's degree

Job overview

The Specialist - Payors role seeks candidates with relevant experience in healthcare payor-related areas, including payment integrity, cost optimization, network optimization, operational efficiency, care management, or risk adjustment. The posting prefers an advanced degree and notes that knowledge of medical or administrative cost optimization, automation, or AI is a plus. The role involves client-facing work and travel to varying environments.

Skills & qualifications

RequiredNice to have

Skills

Payment IntegrityFraud Waste and AbuseMedical and Pharmacy Cost OptimizationNetwork OptimizationAdministration and Operational EfficiencyCare ManagementRisk AdjustmentHealthcare EcosystemPayor KnowledgeMedical or Administrative Cost OptimizationProblem SolvingEntrepreneurshipProfessionalismClient ServiceLeadershipInfluencing StakeholdersTeamworkAutomationArtificial IntelligenceTravel

Qualifications

Bachelor's DegreeAdvanced Degree5+ Years Relevant Experience

Full job description

Atlanta - Austin - Boston - Charlotte - Chicago - Cleveland - Connecticut - Darien - Dallas - Detroit - Houston - Miami Apply Now Apply Later YOUR QUALIFICATIONS AND SKILLS - Bachelor's degree, advanced degree preferred - 5+ years of relevant experience, including experience with at least one of the following areas: Payment Integrity including Fraud, Waste & Abuse; Medical & Pharmacy Cost Optimization; Network optimization; Administration & Operational Efficiency; Care Management; Risk Adjustment - Understanding of the healthcare ecosystem, particularly payors; knowledge of medical or administrative cost optimization is a plus - Strong problem-solving skills with the ability to process complex information - High level of entrepreneurship, professionalism and presence to succeed on the ground with clients - Client service mindset - Able to provide leadership over, and influence individuals across, multiple stakeholders from different levels and backgrounds by tailoring approach - Ability to be a strong team player in a dynamic and changing environment - Knowledge of automation or other AI is a plus - Ability to travel to and work in varying environments that may be challenging and/or not accessible. Apply Now Apply Later Share This Job Equal Opportunity Employment Disclaimer McKinsey & Company is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.

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