Healthcare Business Consultant Job at eTeam, Inc., Chicago, IL

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  • eTeam, Inc.
  • Chicago, IL

Job Description

  • 5 to 10 years of experience working in a healthcare organization providers or payors
  • 2+ years of experience working in a management consulting organization (big 4 preferred)
  • 5+ years of Healthcare experience in any of the following:
  • Government Programs, PBM, Clinical Health Management, Core Administer Delivery, Program Management, Product Management, or Network Management
  • 2+ years of experience in one or more of the following:
  • Operational business process improvement, business process analysis, benchmark analysis or workflow analysis
  • Ability to work on claims with different LOBs such as Commercial, Medicare, Medicaid etc
  • Good understanding on the lifecycle of claims adjudication
  • Possess good exposure on the various claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.
  • Exposure to Facets claims adjudication is an advantage
  • Exposure to ITS claims and duals is an advantage

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