Senior Solution Advisor, Payment Integrity
Core
Subject Matter Expert on Payment Integrity portfolio (Expert Claims Review and Claims Editing) supporting sales and client management teams in healthcare payers.
Role type
Senior Solution Advisor (Sales Engineer)
Builds
Price Optimization solutions for healthcare payers
Domain
Healthcare / Payment Integrity / Claims Management
Deliverable
client delivery
Required skills
healthcare Payment Integrity/Case Management, clinical and coding bill review/audits, utilization review/management, prior authorizations, disputes/appeals, data evaluation, complex data questions, MS suite proficiency
Preferred skills
coding experience, direct sales or consultative pre-sales experience, sales/implementation experience with healthcare payers, project management
Technologies
MS suite
Responsibilities
Partner with Sales to identify client requirements and determine recommended solutions, support Client Management on meetings and questions, assist with sales pipeline organization, provide expertise via presentations and data analysis, partner with Data Insights team on metrics, lead training on product and operational subject matter, provide market intelligence
Seniority
Senior, hands-on IC