
Chief Healthcare Operations Strategist
2 days ago
Gather, analyze, and document business requirements related to healthcare regulations.
Required Skills and Qualifications:- Proven experience in Healthcare Domain
- Ability to ensure system changes, processes, and documentation remain compliant with healthcare regulations
- Effective communication skills for collaboration with compliance and legal teams during audits or regulatory updates
- Benefit Codes & Plan Configuration
- Analyze and configure benefit codes for medical, dental, pharmacy, and specialty products
- Support plan design, benefit mapping, and validation in healthcare systems
- Collaborate with product and IT teams to ensure accurate coding, claims adjudication, and eligibility processing
- Coordinate development and validation of member-facing collateral such as Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs)
- Partner with marketing and compliance teams to ensure content accuracy and timely delivery
- Track versioning and approvals of collateral to maintain consistency across all distribution channels
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Chief Financial Strategist
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Healthcare Industry Professional
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