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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><div><div><div><div><p data-pasted=\"true\"><span style=\"font-family: 'times new roman',serif;\">Blue &amp; Co., LLC is a dynamic and innovative professional services firm providing growth-committed entrepreneurial clients with accounting and consulting services across multiple industries. Healthcare is our largest niche with more than 150 experienced professionals dedicated specifically to the industry.&nbsp;</span></p><p><span style=\"font-family: 'times new roman',serif;\">We are currently seeking a talented Managed Care Specialist to provide subject matter expertise and technical assistance on matters related to Managed Care contracts, modeling, and operational best practices. This position can be located anywhere within our footprint of Indiana, Kentucky, Michigan, Ohio, or Texas. This person will work with Blue&rsquo;s rapidly growing Healthcare Reimbursement and Revenue Cycle teams to serve healthcare providers with issues related to Managed Care.</span></p><p><span style=\"font-family: 'times new roman',serif;\"><strong>Position Details:</strong></span></p><ul><li style='font-family: \"times new roman\", serif;'>Read and interpret Managed Care contract terms, payment logic, and hierarchies to assess risks and to determine opportunity areas of focus for healthcare providers.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Interview provider personnel to obtain additional information on insurance carrier relationships and historical reimbursement trends.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Work with clients to articulate issues requiring attention and develop processes and work plans to address identified issues.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Assist clients with the negotiation of contracts, identifying and prioritizing clients&rsquo; underlying needs and goals in order to achieve a positive outcome for the client.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Develop and maintain personal relationships with payors and providers that engender cooperation and trust, and are conducive to &ldquo;win-win&rdquo; scenarios.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Review, test, and analyze large utilization data sets from healthcare providers.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Oversee and prepare financial models utilizing various database software systems.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Development of exhibits and narrative reports outlining our analysis &amp; reimbursement impacts.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Daily verbal and written communication with healthcare providers &amp; health plans.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Review insurance contracts, applicable state laws and other financial documentation to determine the proper advice back to clients. &nbsp;&nbsp;</li></ul><p><span style=\"font-family: 'times new roman',serif;\"><strong>Position Requirements:</strong></span></p><ul><li style='font-family: \"times new roman\", serif;'>2-6 years of Managed Care related experience that includes the review and negotiation of payor contracts.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Understanding of contract language and Managed Care contract modeling.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Basic understanding of the fundamentals of Values-Based Contracting.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Strong analytical skills; exceptional attention to detail and demonstrated ability to prioritize tasks to ensure accuracy and timely completion.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format with internal and external clients.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Strong organization and documentation skills.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Advanced skills in MS Excel, Word, and various database programs.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Ability to work autonomously and thrive in a fast-paced environment with shifting priorities.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Advanced interpersonal skills, including the ability to listen productively, to motivate, and to persuade. &nbsp;The successful candidate should be comfortable interacting with senior executives, both those internal to Blue &amp; Co., and those who are employed by clients and payors. &nbsp;&nbsp;</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Successful candidate should be skilled at organizing and leading professional business meetings.</li><li style='font-family: \"times new roman\", serif; line-height: 2;'>Selected applicant should be proficient at delivering oral presentations.</li></ul><p data-pasted=\"true\"><span style=\"font-family: 'times new roman',serif;\"><strong>We are responsive. We are caring. We are advocates.</strong></span></p><p><span style=\"font-family: 'times new roman',serif;\">Blue &amp; Co., LLC, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, sex, sexual orientation, gender identity, disability, genetic information, national origin, race, religion, veteran status, or any other protected category.</span></p><p><span style=\"font-family: 'times new roman',serif;\">Candidates must be authorized to work in the U.S. without current or future employer sponsorship</span></p><p><span style=\"font-family: 'times new roman',serif;\">Agency candidates will not be considered for this position</span></p><p><br></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div>\n",
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