Job Title
Underpayments Associate
Job Description
Develop and run targeted, contract-based rules to pinpoint underpayment opportunities or trend/analyze data to flag/develop new underpayment opportunities, which includes SQL development and verification of results;
Collaborate with Global Rules team to search for new pockets of opportunity across clients;
Maintain strong lines of communication with project teams, responding to feedback and requests
Create and validate new risk opportunities, which includes SQL development and verification of results;
Build pricers based off a state’s Medicaid reimbursement, working in tandem with East/West counterparts to continue state expansion;
Evaluate Medicaid workflows, implement process improvements, and create deliverables;
Strategically communicate results back to project teams upon completion of a review
Automate the execution of global and project-specific rules by converting them into a new framework for execution, which includes SQL development and verification of results;
Manage and maintain rules by assessing hit rate (conversion to inflow), collectability, and complexity;•Create new rules based on changing legislation, trends across clients, and collaboration with Comprehensive Commercial team;
New client intake: review commercial contract structures and client data to efficiently assess likely underpayment opportunities for new clients
Skills and Qualifications Required for Success
2+ years experience analyzing large data set and pulling trends
Exceptional analytical and quantitative skills
Problem solving and creative thinking skills
Pay
$60,700- this is a salaried role
**Fully Remote- candidates can sit anywhere in the US**
About Aston Carter:
At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email [email protected] for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
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