About this role

Responsible for supporting the development, implementation and monitoring of medical/financial risk
Identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external events
Maintains a balance between risk mitigation and efficiency
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
Follows established guidelines/procedures

Minimum of 2 years of medical claim billing or auditing experience
Strong data analytics skills and experience in data extraction and analysis
Demonstrated ability to perform effectively in a metric-driven environment
Working knowledge of Microsoft Office Programs: PowerPoint, Access, OneNote and Excel
Excellent written and verbal communication skills
Meticulous attention to detail, with proven capability to manage multiple priorities simultaneously
Able to work independently as well as collaboratively within a team, with minimal supervision
Strong organizational and collaboration skills
Effective time management skills, including the ability to multitask

Medical/Financial Risk Evaluation Professional

Key skills