Medicare Advantage Quality Consultant

Role Overview

• Provide office based, hands-on assistance services to PCPs
• Analyze and interpret data in government value-based reimbursement reports
• Develop strategic plans to meet PCP targets
• Function as the Organization's representative subject matter expert in government reimbursement programs

Requirements

• Bachelor's Degree in a clinical or healthcare related field
• 5 years in Medicare/Medicaid and risk revenue
• 3 years in data analysis, interpretation
• Experience with Medicare STARS, Medicaid HEDIS
• Must be knowledgeable in primary care practice operations

Benefits

• Health insurance
• 401(k) matching
• Paid time off
• Flexible working hours