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Role Overview:
- This role is a strategic and operational leader focused on optimizing medical cost management and driving total cost of care strategy.
- It bridges high-level financial strategy and end-to-end operational execution.
Key Responsibilities:
- Partner with Network Development to design and evaluate complex provider reimbursement structures.
- Collaborate with Claims Operations to ensure accurate system configuration and adjudication.
- Drive decomposition and reporting of Total Medical Expense trends.
Required Skills:
- 8+ years of hands-on experience in healthcare economics or managed care finance.
- Deep knowledge of Commercial reimbursement methodologies and contract mechanics.
- Proficiency in SQL, Python, or R for analyzing large healthcare claims datasets.
Devoted Health
Devoted Health is a healthcare company dedicated to improving the health and well-being of older Americans through an integrated care platform. The company fosters a culture of collaboration, diversity, and innovation, and is an equal opportunity employer.