Senior Consultant - Payment Integrity - Fraud, Waste, Abuse, Error
Current• Drive Premium Audit Services vendors to exceed SLA identification and recovery audit targets for all lines of business. Initiate process improvements to address plan shortfalls. • Develop Tableau dashboards to manage vendors, identify opportunities for increased medical cost savings, identify trends v SLA metrics assisting in development of remediation plans. Utilize Tableau, SQL, Alteryx to perform data analysis.• Support ad hoc reporting requests from: Optum Relationship Office, Optum Insight and Optum Finance senior management, United Healthcare Client/Network Management • Perform financial analysis of vendor results to analyze their performance versus yearly targets and support setting targets • Drive process improvements in Premium Audit Services Vendor Programs to support overall program success