Sr. Claims Solutions Consultant

cLocation: Malvern, PA; Norwalk, CT
Description:
**Can be based in Malvern, PA, Norwalk, CT, or REMOTE (work from home)**

Healing the healthcare system starts with you. It starts with the chain of events you initiate when you work with McKesson Health Solutions - a chain that extends across the country and results in millions of people getting more from their healthcare.

Healthcare payors and providers consistently turn to McKesson Health Solutions for innovative products and services. Every day, hundreds of organizations from government agencies to hospitals count on us. We partner with the top 25 payor organizations, more than 90 percent of Blue Cross Blue Shield organizations, over 3,000 hospitals and many others - in fact, our solutions touch more than 160 million lives. Our unrivaled clinical integrity, broad product and service offerings and largest client base in the industry mean we're able to collaborate on the most pressing, complex business issues in healthcare. At McKesson Health Solutions, we're working to improve the healthcare system one partner at a time.

Claims Solutions Consultant

The Claims Solutions Consultant is responsible for understanding the clients' claims environment, payment policies and supporting the client by responding to inquiries and issues. Assist in determining and developing how services and rules engine should be implemented within the clients' environment. Mentors and provides consultative assistance to client and internal resources. Provide business subject matter expertise to the R&D, Support and Services teams.

The Claims Solutions Consultant works effectively on their own or with a Manager for initial client implementations and existing client configuration with full responsibility for on-going maintenance for their assigned clients.

Key Responsibilities:

1. Effectively work as a Total Payment rules development subject matter expert on customer implementations 70%

2. Address all assigned customer issues & requests that are generated through the McKesson Services Support Center 20%

3. Effectively participate on internal or external CXT project teams. Conduct training needs analyses and develop implementation training materials 5%

4. Provide forecasting, supply requested metrics and attend or lead team meetings 5%
Desired Skills & Experience

4+ years experience in business analysis, requirements definition, building systems solutions and deployment of business requirements to information systems.

3+years of experience in health care combining first hand payor and consulting experience

A. McKesson Products and Services

* Understands the features and benefits of the Total Payment solution and related services
* Explains all Total Payment products and services effortlessly to customers
* Demonstrates effective use of the ClaimsXten product and services
* Understands the MHS overall strategic plan

B. Customer's Business

* Deeply understands the payor environment and claims management
* * Deeply understands the different customer segments (national, strategic, and specialized)
* Understands architecture, infrastructure, and multiple platforms
* Discusses customer issues (pains and trends) confidently with customers

C. Communication

* Delivers presentations effectively to the customer
* Able to understand and articulate ClaimsXten rules development
* Conducts customer meetings/trainings efficiently and effectively

D. Business Processes

* Understands all of the phases of the service and support cycle: design, implementation, and support
* Deeply understands product and solution life cycle

E. Operations

* Effectively develop rules for implementing customers
* Effectively address assigned customer requests and issues
* Garners customer feedback through training surveys and post engagement surveys

F. Clinical

* Understands medical terminology, healthcare industry terminology, and coding terminology
* Articulates the clinical value of products and services provided to customers

G. Software Tools

* High-level proficiency in the following software:
* * Word
* * PowerPoint
* * Excel
* * Visio
* Other tools used for shared Solution Services communication, such as Web conferencing


4-year degree in computer science or related field or equivalent experience


General Office Demands:

Travel 10% to 15%
Company Description

We believe you should be rewarded for the important work you do. For that reason, you'll receive a competitive compensation and benefits package when you join our team.

It starts with you. That's a simple sentence but it says a lot. It reminds each one of us that what we do matters. Every single McKesson employee contributes to our mission -- whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. By connecting and improving the business of healthcare, we're helping to ensure that millions of patients get the treatment they need. And by choosing a career with McKesson Health Solutions, you'll join a team of passionate people working together to improve lives and advance healthcare.

At McKesson, we believe we can empower healthcare. And it all starts with you.

As an equal opportunity employer, McKesson Corporation unites the talents and contributions of all to advance the power of healthcare. Learn more about our opportunities at mckesson.com/careers

IMPORTANT!
Apply via this link only:
http://linkd.in/VU8OTr

Company: McKesson Corp
Contact person: Not mentioned
Contact information: careershelp@mckesson.com (DO NOT APPLY VIA THIS E-MAIL ADDRESS)