The nurse uses clinical skills to coordinate, document and communicate all aspects of the utilization management program. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
Responsible for forming and maintaining strategic relationships within and between business units through proactive engagement, consultation and project leadership in the area of advanced analytics including; advanced analysis, data exploration, data mining, data visualization, reporting, and dash-boarding.
Provides assistance and input to management, develops and leads large multifunctional development activities, solves complex technical problems, writes complex code for computer systems, and serves as a senior source of expertise.
Design and manipulation, optimization, best practices, tuning, and leading industry trend knowledge. Expertise in normalized/dimensional data modeling principles and their application to complex business needs.
In this role, the Consultant will work directly with project teams on solution definition, development, and use repeatable GBS industry solutions and transfer knowledge to the company teams worldwide through training and side-by-side engagement work.
Preparing and distributing safety manuals, conducting presentations, establish injury review processes; reducing the severity and frequency of workers compensation claims and institution return to work programs.
In this role, the selected candidate will meet with Owners, Design Professionals, and Clients on a regular basis to discuss status of projects, determine client satisfaction and take immediate action to respond to concerns