Consultant, Payor Provider Commercial Healthcare
Chicago, Illinois, United States
- Client Consulting
- Collaborated with payor/provider clients to adopt the CMS Pricing Transparency regulation and developed client-specific methodology frameworks to meet regulation criteria and mitigate financial risk
- Conducted a major provider client contractual benchmarking assessment using KPIs (size, location, IP/OP service lines and IP/OP reimbursement ratios), resulting in a defensible strategy to negotiate higher payer.
- Piloted project close-out and owned Pricing Transparency client deliverable containing finalized outputs
- Established project alignment both internally and externally by coordinating client correspondences, including: setting meeting agendas, leading meetings, presenting weekly updates, and answering client questions
- Owned compliance validation processes and assessments to ensure Pricing Transparency regulation adherence and data integrity, resulting in clients to ranking best in compliance across U.S. hospitals Initiatives