Managed Care Policy & Compliance Expert

Catapult Consultants, LLC; Nashville (TN); On-site; USD 70,000 - 90,000; Full time

Job summary

Catapult Consultants, LLC is seeking a Managed Care Subject Matter Expert in Nashville, TN, to provide expertise and support on Managed Care operations. The role involves advising staff, training on MCO policies, and assisting with fraud identification. Candidates must have a bachelor's degree or significant experience in interpreting health care policies, along with proficiency in Microsoft applications.

The ideal candidate will be knowledgeable in the Managed Care field and possess excellent communication and research skills. A valid driver’s license is also required.

Qualifications

• Graduate from an accredited U.S. college or university.
• Experience equivalent to six years in healthcare policy.
• Minimum of three years of Managed Care experience.

Responsibilities

• Provides consultation on Managed Care operations.
• Trains staff on MCO operations and policies.
• Identifies fraud, waste, and abuse in MCO environments.

Skills

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Verbal communication

Written communication

Research skills

Education

Bachelor’s degree in relevant field

6 years of experience interpreting policy

Job description

Catapult Consultants, LLC is seeking a Managed Care Subject Matter Expert in Nashville, TN, to provide expertise and support on Managed Care operations. The role involves advising staff, training on MCO policies, and assisting with fraud identification. Candidates must have a bachelor's degree or significant experience in interpreting health care policies, along with proficiency in Microsoft applications.

The ideal candidate will be knowledgeable in the Managed Care field and possess excellent communication and research skills. A valid driver’s license is also required.