Managed Care Strategy and Compliance Expert

Catapult Consultants, LLC; Nashville (TN); Presencial; USD 65.000 - 85.000; Jornada completa

Descripción de la vacante

Catapult Consultants, LLC is looking for a Managed Care Specialist in Nashville, Tennessee. This role involves providing expertise and technical assistance on Managed Care operations and supporting various teams, including Data Analysis and Medical Review.

The ideal candidate will have a bachelor’s degree or equivalent experience, high proficiency in Microsoft Word, and at least three years of relevant Managed Care experience. Join us in ensuring program integrity and operational efficiency.

Formación

• Graduate from an accredited U.S. college or university with a bachelor’s degree or equivalent experience.
• High proficiency level with Microsoft Word.
• Minimum of three years of Managed Care related experience.

Responsabilidades

• Provide consultation on Managed Care operations and policies.
• Train staff related to MCO operations.
• Identify fraud, waste, and abuse in the MCO environment.

Conocimientos

Microsoft Word

Verbal and written communication

Research skills

Microsoft Excel

Microsoft PowerPoint

Educación

Bachelor's degree or equivalent experience

Descripción del empleo

Catapult Consultants, LLC is looking for a Managed Care Specialist in Nashville, Tennessee. This role involves providing expertise and technical assistance on Managed Care operations and supporting various teams, including Data Analysis and Medical Review.

The ideal candidate will have a bachelor’s degree or equivalent experience, high proficiency in Microsoft Word, and at least three years of relevant Managed Care experience. Join us in ensuring program integrity and operational efficiency.