Clinical Business Consultant
Blue Cross Blue Shield of Massachusetts(2 months ago)
About this role
The Clinical Business Consultant for Cost and Trend Management at Blue Cross Blue Shield of MA is a clinical-affiliated role focused on addressing healthcare cost drivers and trends through analysis and cross-functional collaboration. The position connects clinical insight with business strategy to inform decision-making and support organizational efforts to manage high-cost members and overall medical trend.
Required Skills
- Medical Assessment
- Cost Analysis
- Claims Audit
- Data Analysis
- Clinical Summaries
- Provider Relations
- Utilization Review
- Care Management
- Presentation Skills
- Program Implementation
+2 more
Qualifications
- BSN
- Registered Nurse
- CPC (Preferred)
- CIC (Preferred)
About Blue Cross Blue Shield of Massachusetts
bluecrossma.orgBlue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App
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