Beneficiary and Family Centered Care SME
Key Role:
Apply expert understanding of public health disciplines to design, develop, and implement programs and policies. Apply leading-edge principles, theories, and concepts. Contribute to the development of new principles and concepts. Work on unusually complex problems and provide highly innovative solutions. Operate with substantial latitude for unreviewed action or decision. Mentor or supervise employees in both firm and technical competencies.
Basic Qualifications:
- Experience working with or for Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs)
- Experience with monitoring inpatient and outpatient costs
- Experience with reviews of claims cost accuracy, payer appeals, coordinating care during patient transitions of care, and reducing hospital readmissions through advocacy services
- Knowledge of applicable payment and quality methodologies
- Bachelor's degree with 10+ years of experience in the BFCC field
Additional Qualifications:
- Experience with econometrics, statistics, and use of claims and medical records data
- Experience with beneficiary case reviews
- Experience with using national data to identify areas for quality improvement and increased patient safety
- Experience with engaging beneficiaries and their families to improve how health care is delivered
- Ability to pay attention to detail
- Ability to work independently as well as with a team in a fast-paced environment
- Ability to review and interpret regulatory and sub-regulatory guidance
- Possession of excellent oran and written communication skills
- Possession of excellent problem solving and organizational skills.
- Possession of excellent policy analysis skills
Compensation
At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your total well-being. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges employees for exceptional performance and superior demonstration of our values. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in Booz Allen’s benefit programs. Individuals that do not meet the threshold are only eligible for select offerings, not inclusive of health benefits. We encourage you to learn more about our total benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.
Salary at Booz Allen is determined by various factors, including but not limited to location, the individual’s particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements. The projected compensation range for this position is $93,300.00 to $212,000.00 (annualized USD). The estimate displayed represents the typical salary range for this position and is just one component of Booz Allen’s total compensation package for employees.
Work Model
Our people-first culture prioritizes the benefits of flexibility and collaboration, whether that happens in person or remotely.
- If this position is listed as remote or hybrid, you’ll periodically work from a Booz Allen or client site facility.
- If this position is listed as onsite, you’ll work with colleagues and clients in person, as needed for the specific role.
EEO Commitment
We’re an equal employment opportunity/affirmative action employer that empowers our people to fearlessly drive change – no matter their race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law.
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