Medical Benefits and Reimbursement Analyst in Aurora, CO at Booz Allen Hamilton

Date Posted: 2/13/2018

Job Snapshot

Job Description

Job Number: R0023197

Booz Allen Hamilton has been at the forefront of strategy and technology for more than 100 years. Today, the firm provides management and technology consulting and engineering services to leading Fortune 500 corporations, governments, and not-for-profits across the globe. Booz Allen partners with public and private sector clients to solve their most difficult challenges through a combination of consulting, analytics, mission operations, technology, systems delivery, cybersecurity, engineering and innovation expertise.

Medical Benefits and Reimbursement Analyst

Key Role:

Provide medical benefits and reimbursement consulting support focused on the analysis of data, policies, procedures, and processes of the DoD TRICARE Health Program. Update and maintain 20+ medical reimbursement systems requiring quarterly and annual updates and ongoing monitoring to ensure claims are reimbursed accurately. Work with clinicians and government personnel to process and support reimbursement policies impacting payment for new and existing benefits. Conduct quantitative and qualitative analyses to identify trends and patterns informing reimbursement policy and identify root causes of provider payment issues that have high complexity and impact.

Basic Qualifications:

-Knowledge of a commercial or federal health plan or health systems operations, including medical benefits and reimbursement policy or procedures

-Ability to provide financial, contract, and administrative analysis and project reviews, including reviewing medical policy and benefits

-Ability to infuse creativity and innovative thinking to solve problems

-Ability to communicate effectively, both orally and in writing

-Ability to work independently and in a team environment

-BA or BS degree

Additional Qualifications:

-Experience with commercial or federal health plans or health systems

-Knowledge of current trends in healthcare delivery systems

-Knowledge of the TRICARE Health Program

-Public Trust clearance

-BA or BS degree in Healthcare Administration, Business Management, Statistics or a related field preferred; MA or MS degree in Healthcare Administration, Business, or a related field a plus

Integrating a full range of consulting capabilities, Booz Allen is the one firm that helps clients solve their toughest problems by their side to help them achieve their missions.  Booz Allen is committed to delivering results that endure.

We are proud of our diverse environment, EOE, M/F/Disability/Vet.

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