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  • Consultant

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for. We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role As an AArete Consultant, you will collaborate closely with clients to understand their most pressing challenges and develop strategies for meaningful change. You will leverage your analytical expertise, entrepreneurial mindset, and commitment to excellence to drive results. With strong critical thinking skills, exceptional communication abilities, and a high-performing mindset, you are recognized as a self-starter. You leverage your analytical reasoning to determine the best ways to evaluate data and identify insightful elements that translate into client findings or recommendations. You take initiative in researching business challenges to understand market conditions, consistently bringing your perspective forward. Your resourceful and innovative approach to problem solving allows you to analyze data and build business cases that support project success and maximize value. In this role, you will apply deep expertise in data analytics, business case development, client stakeholder collaboration, and executive communications. You will be responsible for executing project goals and deliverables with precision while solving complex business challenges for both clients and internal initiatives, giving leadership leverage by providing client-ready, high-quality, insightful deliverables. Your contributions will have a lasting impact, shaping strategies and driving measurable outcomes. Work You'll Do As an AArete Consultant, you will support projects and drive successful outcomes through the following: Conducting in-depth analysis and research to identify and understand market dynamics, industry leading practices, and business challenges Leveraging and conducting data analysis to uncover insights and develop potential solutions for clients Identifying potential solutions to business challenges through research, interviews, internal collaboration with other AArete teams and data analysis Assisting in the creation of business cases, delivering actionable recommendations, and supporting the implementation of initiatives, including cost savings and operational improvement Developing and delivering presentations that communicate key insights and recommendations, concisely presenting information using clear, industry-appropriate language Collaborating closely within your project team to ensure alignment and success, acting as an accountable team member who works together with others to reach a common goal Learning from senior team members and attending trainings to continuously develop your skills and expertise, showing eagerness, curiosity, and reception to feedback Leading and mentoring Analysts, fostering their growth and development by modeling strong communication, accountability, and teamwork Preparing polished deliverables, with a focus on storytelling, for final review with the engagement manager Exercising excellent judgment, clear communication, and a solution-oriented approach in all aspects of your work Managing client stakeholder and vendor relationships to understand challenges, develop solutions and implement improvements Delegating tasks as necessary to accelerate delivery within our Intern, Analyst and global support teams Collaborating across other AArete solutions in identifying client challenges and escalating to leadership to contribute in cross-selling and up-selling Other duties as assigned Requirements 2+ years of experience in consulting, professional services, healthcare operations, or other relevant industries with demonstrated project-based, analytical, and client-facing responsibilities Bachelor's degree required Advanced proficiency utilizing Microsoft Office applications, especially Excel and PowerPoint, and basic SQL for data analysis Strong analytical skills, with the ability to analyze and interpret data, identify client profitability improvement opportunities, and develop actionable business cases Strong professional communication skills, including expertise in written, verbal, and interpersonal communication, as well as in-person presentations Passion to solve challenges for our clients in the healthcare industry, particularly within payer processes and data Ability to work within diverse project teams both internally and client facing Enthusiasm for joining a fast-paced, high-growth company and contributing to the development of business architecture in technology applications and tools High self-motivation, accountability, and a collaborative spirit Willingness to engage in direct client interaction, including travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Strong preference for experience in the payer and healthcare industry, including candidates with provider backgrounds who have worked with payers (e.g., managed care contracting) Experience with healthcare claims analytics and/or network analytics, with strong understanding of payer/provider contracts, reimbursement language, and key terms Experience with AArete's other focus industries: Pharmacy, Financial Services, Retail, Manufacturing, Higher Ed, or Technology & Professional Services Cost reduction and process improvement experience within relevant client industries (Healthcare, Financial Services, Retail, Higher Ed, etc.) Experience in healthcare systems and digital platforms, including Provider Data Management, Claims Adjudication (e.g., Facets, QNXT, etc.), and related tools, with the ability to leverage these systems to improve data quality, operational efficiency, and end-to-end healthcare processes Based in Chicago, IL, and able to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, Short-Term Disability, and Long-Term Disability Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $84,000 - $102,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned aGreat Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault'sTop 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000'sFastest Growing Firms, and Consulting Magazine'sFastest Growing Firms. Learn moreabout our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $84k-102k yearly 17h ago
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  • Manager, Payment Intelligence

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's consulting service line, Payment Intelligence goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence team addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations. In this role, the manager will be responsible for leading Payment Intelligence in client delivery. The position will report to a Payment Intelligence Managing Director. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives. Work You'll Do Proactively lead the team in understanding client needs and challenges, driving initiatives to solve issues and meet goals within specified timelines, while remaining deeply involved in the day-to-day aspects of the work Collaborate with Managing Directors, Vice Presidents, and Directors to set project strategies and ensure alignment with client objectives, all while actively contributing to the project execution Oversee and manage the development, identification and root cause of payment accuracy opportunities through remediation with client counterparts Lead and mentor teams in utilizing analytics to uncover claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc. Drive the advancement of automation solutions for clients ensuring efficiency and scalability Stay ahead of regulatory changes, industry trends, and market shifts impacting health plan reimbursement and translate insights into actionable strategies Ensure the quality and accuracy of client deliverables while managing stakeholder expectations Exercise excellent judgement and clear and direct communication in all aspects of your work Lead, mentor, and coach team members on client and internal projects, fostering a collaborative environment while maintaining active involvement in execution Other duties as assigned Requirements 6+ years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and/or a payer organization 2+ years of people management experience, with proven ability to lead and work closely with teams while also managing day-to-day responsibilities Expertise in claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services Ability to analyze claims to ensure accuracy and compliance Knowledge of industry vendors and tools related to claims processing, provider data, and contract management Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise Experience coaching and mentoring team members Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis, and PowerPoint Strong analytical, data interpretation, and problem-solving skills Ability to identify client savings opportunities and develop actionable business cases Bachelor's degree or equivalent Direct client interaction with possible travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Policy & Claims Editing Expertise Interpretation of healthcare policies and regulations Experience in reimbursement policy writing and claims editing Proficiency in data mining to detect errors and inconsistencies Ability to crosswalk and compare edits and policies Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews Contract Configuration & Provider Data Expertise Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments Understanding of contract carve-outs, including bundled services, readmissions, and reductions Experience in contract pricing and claims reimbursement analysis Ability to price and reprice claims based on contractual agreements Understanding of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration Familiarity with network processes, including Optimization, Adequacy, and Pricing Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.) Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $130,000 - $165,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $130k-165k yearly Auto-Apply 60d+ ago
  • President, Strategy & Operations

    IMEC Research 4.3company rating

    Chicago, IL job

    A manufacturing improvement organization in Chicago seeks a President to provide strategic leadership and operational management. The ideal candidate will possess at least 15 years of experience, including 5 in senior management within the manufacturing sector. Responsibilities include overseeing daily operations, ensuring customer satisfaction, and nurturing stakeholder relationships. This role requires strong leadership and problem-solving skills, and a commitment to improving services for small and mid-sized manufacturers in Illinois. A Bachelor's degree and an MBA are required. #J-18808-Ljbffr
    $110k-249k yearly est. 2d ago
  • Part Time - Work from Home - Online Product Tester - No experience ($25-$45 per hour)

    OCPA 3.7company rating

    Remote or Rotterdam, NY job

    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested
    $25 hourly 60d+ ago
  • Global Records & Information Management Director

    Sidley Austin LLP 4.6company rating

    Chicago, IL job

    A leading law firm in Chicago is seeking a Records Management Director to lead the strategy and governance of their global Records and Information Management program. This role requires a minimum of 10 years of experience in a similar field, ideally within a law firm, and offers a competitive salary of $280,000 - $350,000. You'll oversee operations, implement modern RIM practices, and lead a team while ensuring compliance with legal and regulatory standards. #J-18808-Ljbffr
    $280k-350k yearly 1d ago
  • Managed Care Pharmacist Consultant

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role We are seeking a licensed pharmacist to join our healthcare consulting team as a senior solution consultant, focusing on medical drug and pharmacy benefit performance consulting.. In this role, you will leverage your managed care pharmacy and analytics experience to identify drug trends and savings opportunities and deliver actionable, client-ready recommendations. This role offers the opportunity to apply strong pharmacy management experience and analytical skills, drive meaningful client impact, and advance your career in a high-performing, collaborative environment. Work You'll Do Work in a matrix management environment as a member of the pharmacy team, supporting multiple projects and actively participating in client-facing meetings Lead the development and identification of opportunities to reduce payer drug costs, partnering closely with internal teams to implement recommendations Utilize analytics to uncover trends across pharmacy and medical drug spend, applying your knowledge of drug pricing and reimbursement methodologies (AWP, WAC, NADAC, MAC, CMS ASP), formulary strategy, and utilization management programs Support the advancement of automation and improved workflows in pharmacy analytics, reporting, and operational processes Stay up to date on regulatory changes, drug pricing updates, compendia changes, and market trends that impact pharmacy benefit strategy and clinical programs. Prepare client-ready deliverables Exercise excellent judgment and communicate clearly and directly with clients and internal partners throughout project execution Apply strong critical thinking and analytics skills to identify patterns, inconsistencies, and opportunities within pharmacy and medical claims and develop practical recommendations and strategies for clients. Other duties as assigned Requirements 6+ years of managed care pharmacy experience in a health plan, PBM, or integrated health system 4+ years of experience in the healthcare industry, specifically on the payer side 2+ years of people management experience, with proven ability to lead and work closely with teams while also managing day-to-day responsibilities Licensed Pharmacist Demonstrated experience in pharmacy benefit management inclusive of benefit design, formulary strategy, utilization management programs, clinical programs PBM contracting, and analytics and reporting Track record in pharmacy and medical drug utilization analysis, cost containment, or value-based pharmacy strategy Experience leading a team or managing projects with measurable outcomes Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise Experience coaching and mentoring team members Advanced proficiency in Microsoft Excel for data analysis and insights development Strong analytical, data interpretation, and problem-solving skills Direct client interaction, including possible travel to client location Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Experience working in a consulting environment with direct client engagement Experience with healthcare payer or PBM strategic decision-making Experience analyzing drug pricing benchmarks, compendia, and pharmacy reimbursement policy frameworks Experience collaborating with cross-functional teams including actuarial, clinical, finance, or operations Familiarity with data visualization tools or automated analytics workflows Demonstrated ability to translate complex analytical findings into compelling, client-ready deliverables and strategic recommendations Prior experience in projects involving regulatory change interpretation or market trend analysis Remote work with flexibility to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $130,000 - $165,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $50k-79k yearly est. Auto-Apply 21d ago
  • Resource Management Associate

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role The Resource Management Team, part of the Operations - People Team, focuses on aligning the right talent with our clients' needs. We allocate resources by leveraging key data points, including employee skillsets and experience, project demand and scope, utilization, capacity, and other relevant factors. AArete is seeking a Resource Management Associate to join our team. In this role, you will play a critical part in maintaining data integrity, leading data-driven initiatives, and serving as a key point of contact for planning and fulfilling staffing needs. Work You'll Do Partner with the Resource Management team and AArete leadership to forecast project demand and assign the appropriate staff (resources) to upcoming needs, applying strong organizational and project management skills with exceptional attention to detail Assign resources confidently and strategically by matching skillsets to project requirements while advocating for staff, balancing business priorities, and clearly communicating the rationale behind decisions Collaborate with global staffing teams to optimize global resource utilization and streamline staffing processes Serve as the primary point of contact for staffing asks and questions, effectively triaging requests, escalating when appropriate, and ensuring timely action with professionalism, discretion, and excellent interpersonal communication Maintain and enhance accurate staffing data within NetSuite, including reporting, utilization tracking, employee capabilities/preferences, and data integrity to support automation and informed decision-making Leverage data to produce reports, enhance necessary data, and support operational efficiency Identify opportunities to enhance staffing processes, tools, and reporting for continuous improvement; support and project manage a variety of staffing initiatives, owning tasks, providing recommendations, and driving follow-through to improve business operations Contribute to continuous improvement by identifying opportunities to enhance staffing processes, tools, and reporting Perform other duties as assigned, contributing to overall team success and continuous improvement Other duties as assigned Requirements Bachelor's degree in Human Resources, Business Administration, or related field Minimum of 2 years of proven experience in Resource Management, Recruiting, Recruiting Agency, Human Resources, or professional services environment Strong organizational and project management skills with exceptional attention to detail Analytical and critical thinking skills with a solutions-oriented mindset Proven ability to build and maintain relationships with professionalism and discretion in handling confidential information Experience advocating for recommendations and clearly communicating the rationale behind decisions Excellent interpersonal and communication skills Proficient in Microsoft Tools (e.g. Excel, Forms, Power Automate) Comfortable analyzing data and presenting insights in a clear, actionable manner Applicants must be based in Chicago, IL, and flexible to work from our Chicago office 2 days per week as a hybrid model Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Experience within a consulting firm or in technical or agency recruiting roles Experience with NetSuite Staffing & Project Management tools; otherwise, a strong appetite to learn and ability to share examples of working with comparable tools or processes (HRIS, project staffing management tools, resource planning systems, etc.) Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $65,000 - $85,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $65k-85k yearly Auto-Apply 32d ago
  • Data Scientist

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. Why AArete? We are a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. At AArete, we encourage you to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role We are looking for a Data Scientist who will support our client teams with insights gained from analyzing data leveraging advance analytics techniques. They must have a proven ability to drive business results with their data-based insights. They must be comfortable working with a wide range of stakeholders and functional teams. The right candidate has the capability to formulate data driven solutions in collaboration with stakeholders' business requirements. Work You'll Do Work directly with client teams to identify opportunities for leveraging advanced analytical techniques to drive business solutions Mine and analyze data to drive optimization and improvement of business strategies Develop custom AI/ML models and algorithms to apply to data sets Optimize prompts for Generative AI applications Use Data driven insights to drive business outcomes and communicate the same to stakeholders Develop processes and tools to create and monitor data models while maintaining accuracy and other associated metrics necessary for the business objective Fine-tune Large Language Models for specific business needs Other duties as assigned Requirements 3+ years of work experience with a bachelor's degree in quantitative field such as Computer Science, Statistics, Economics, Math, Engineering Previous experience working with relational databases and developing advanced SQL queries is a must Proven experience working with Large Language Models (LLMs) such as Claude Anthropic, OpenAI's ChatGPT, Meta Llama 2, Amazon Titan, Cohere Command & Embed, or rAI21 Labs Jurassic Experience performing data quality assurance and manipulation and Experience with statistics and developing and testing models using various machine learning algorithms Experience working with ALL of the below technologies: Python AWS Sagemaker AWS Bedrock Supervised and Unsupervised Machine Learning Experience producing data visualizations Experience communicating insights to both technical and non-technical insights concisely Experience working with a business intelligence platforms: Tableau, Power BI, etc. Ability to communicate analytic findings to technical and non-technical audiences Ability to present to senior executives and client leadership Self-motivated. Can-do spirit. Team-player. Flexible. Dependable. Detail oriented. Resourceful Willingness to engage in direct client interaction, including travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Based in Chicago, IL and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Employee Stock Ownership Plan Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $100,000-$125,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our Employee Stock Ownership Plan, majority employer-paid benefits, and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $100k-125k yearly Auto-Apply 60d+ ago
  • Technical Project Manager - Data Engineering

    Fractal Analytics 4.2company rating

    Illinois job

    It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. Technical Project Manager - Data Engineering Fractal is a strategic AI partner to Fortune 500 companies with a vision to power every human decision in the enterprise. Fractal is building a world where individual choices, freedom, and diversity are the greatest assets. An ecosystem where human imagination is at the heart of every decision. Where no possibility is written off, only challenged to get better. We believe that a true Fractalite is the one who empowers imagination with intelligence. Fractal has been featured as a Great Place to Work by The Economic Times in partnership with the Great Place to Work Institute and recognized as a ‘Cool Vendor' and a ‘Vendor to Watch' by Gartner. Please visit Fractal | Intelligence for Imagination for more information about Fractal. The Opportunity: This is a hands-on delivery role. We are seeking a Technical Project Manager, within the Data Engineering domain, who also serves as a delivery advisor-facilitating execution, resolving blockers, and constructively challenging clients when needed. You'll work across cross-functional teams of client-side PM's, Product Owners, Architects and other stakeholders, and manage offshore delivery teams of data engineers and software developers to deliver cloud modernization solutions and migration of legacy data to Azure Databricks. You'll play a key role in translating business goals into scalable outcomes while ensuring delivery quality and timelines are met. Key Responsibilities: Agile Facilitation & Delivery Lead Agile ceremonies (planning, stand-ups, retrospectives, reviews) across 1-2 concurrent workstreams. Support backlog grooming, sprint planning, and estimation processes in partnership with product owners and tech leads. Maintain delivery momentum while protecting team focus and preventing scope creep. Client Advisory & Consulting Operate as a thought partner to clients, helping them understand Agile roles, prioritize high-value work, and adapt to change. Manage multi-vendor teams and serve as a communication bridge between business and technical stakeholders. Guide client stakeholders on delivery governance, roadmap planning, and Agile maturity. Team Leadership Promote a culture of psychological safety, continuous learning, and high accountability. Help unblock delivery risks early-whether technical, interpersonal, or organizational. Coach junior team members and client contributors on Agile best practices. Sector-Specific Awareness Deliver projects in the data engineering space. Collaborate with technical architect to understand solution architecture, design, risks, and plan their mitigation. Develop and maintain RACI matrices and comprehensive project plans, including daily progress trackers to monitor work execution. Qualifications: Required 5-8 years of experience in Agile delivery, with 3+ years as a Scrum Master in Data Engineering or related projects. Proven ability to manage cross-functional Data Engineering technical teams. Experience in a professional services or consulting environment, working directly with clients. Strong interpersonal skills: assertive, diplomatic, organized, and outcome-driven. Demonstrated expertise in Project Management methodologies such as Scrum and Agile, with proficiency in tools like Jira. Preferred Experience managing Data Engineering projects involving Databricks, Synapse, and Azure cloud. Agile certifications (CSM, SAFe, PSM) and/or consulting credentials (PMP Agile, delivery excellence frameworks). What Success Looks Like: You're not just facilitating-you're advising and shaping delivery strategy. Your teams are unblocked, productive, and focused on business value. You build trust with technical and business stakeholders alike, balancing execution and empathy. You elevate delivery rigor while keeping the client's strategic goals front and center. Pay: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Fractal, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is: $120,000 - $170,000. In addition, you may be eligible for a discretionary bonus for the current performance period. Benefits: As a full-time employee of the company or as an hourly employee working more than 30 hours per week, you will be eligible to participate in the health, dental, vision, life insurance, and disability plans in accordance with the plan documents, which may be amended from time to time. You will be eligible for benefits on the first day of employment with the Company. In addition, you are eligible to participate in the Company 401(k) Plan after 30 days of employment, in accordance with the applicable plan terms. The Company provides for 11 paid holidays and 12 weeks of Parental Leave. We also follow a “free time” PTO policy, allowing you the flexibility to take the time needed for either sick time or vacation. Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! Not the right fit? Let us know you're interested in a future opportunity by clicking Introduce Yourself in the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest!
    $120k-170k yearly Auto-Apply 60d+ ago
  • Information Security Engineer

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role AArete is looking for an Information Security Engineer. You are highly technical with an entrepreneurial spirit and commitment to excellence. You thrive in a team environment and have the ability to flip tasks and priorities midstream because you love an exciting challenge. The bar is set high at AArete. There is a lot to do around here, and you love getting the job done right. At AArete, we are dedicated to delivering the best experience to our clients every day. We are fresh, passionate, full of energy, and love what we do-providing non-labor cost reduction solutions and impressing our clients with impeccable service. Work You'll Do Manage and optimize security technologies, including endpoint protection tools, email security tools, vulnerability scanners, and Siems Provide support, administration, and maintenance necessary to ensure effective and efficient information technology system performance and security Identify, analyze, and mitigate threats to internal information technology systems or networks Maintain baseline system security according to organizational policies Manage accounts, network rights, and access to systems and equipment Design access control lists to ensure compatibility with organizational standards, business rules, and needs Provide ongoing optimization and problem-solving Analyze data sources to provide actionable recommendations Assess the validity of source data and subsequent findings Present technical information to technical and non-technical audiences Present data in creative formats Provide actionable recommendations to stakeholders based on data analysis and findings Oversee installation, implementation, configuration, and support of system components Answer requests for information Conduct in-depth research and analysis Provide input and assist in the development of plans and guidance Maintain infrastructure within a cloud environment Other duties as assigned Requirements 2+ years of experience working in an information security role Experience with tools such as Sentinel One, Microsoft Defender, Mimecast, Rapid7 IDR, AWS Native Security Services, Microsoft Purview, Microsoft Intune, vRx (Vicarius) or similar Direct client interaction, including possible travel to client location Applicants must be based in Chicago, IL, and flexible to work from our Chicago office as needed Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Technology-focused degree Professional certifications such as GSEC, SSCP, Security+, SC-200, SC-400 or others Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $72,000 - $92,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $72k-92k yearly Auto-Apply 31d ago
  • Analyst

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role As an AArete Analyst, you will support client teams in addressing critical business challenges by contributing structured research, clear analysis, and thoughtful problem solving. You will develop the core consulting skills needed to analyze data, structure problems, and contribute to project delivery while gaining exposure to strategic decision making. If you thrive in a collaborative and fast‑paced environment and are recognized for your critical thinking, communication skills, and willingness to learn, this role is for you. You will expand your consulting capabilities through hands‑on work in research, data analytics, and business case development, and you will play a foundational role in moving projects forward and delivering high quality results. Work You'll Do Analyze complex data to uncover insights and support the development of actionable business cases that deliver client savings and operational improvements Conduct research to understand client-specific business contexts, industry trends, and problem statements Understand client challenges and apply structured problem solving to deliver clear key findings and recommendations Collaborate with cross-functional teams to design and implement innovative solutions that address client needs and push industry boundaries Utilize advanced Microsoft Excel and SQL skills for in-depth data analysis and visualization Prepare clear, concise deliverables for project leadership and client review Participate in internal and client meetings by taking notes, asking clarifying questions, and presenting portions of work when appropriate Communicate effectively with project leaders and clients by sharing progress updates and analytical insights Exercise sound judgment and communicate effectively with clients at all levels Demonstrate strong attention to detail, professionalism, and organized work habits Work collaboratively with team members to support project success and contribute positively to team culture Apply feedback from mentors and peers to strengthen consulting skills Participate in training sessions, recruiting efforts, and team-building activities Contribute to internal initiatives and projects that drive AArete's growth and innovation Other duties as assigned Requirements Bachelor's degree required Proficiency in Excel and PowerPoint, and willingness to build data/technical skills (including SQL) Demonstrated passion for continuous learning and staying current with industry trends and technologies Exhibit a high level of accuracy, professionalism, and organizational discipline Strong problem-solving skills with a logical and analytical approach Ability to understand business and project goals to craft and deliver meaningful solutions to clients Ability to work effectively both independently and in group settings Willingness to engage in direct client interaction, including travel to client locations Based in Chicago, IL, and able to work from our Chicago office as needed Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Degree in Business, Finance, Economics, Engineering, Data Analytics, or related field Professional experience in consulting, analytics, or professional services Experience and interest in healthcare, especially payer operations and data Experience with AArete's other focus industries: Pharmacy, Financial Services, Retail, Manufacturing, Higher Ed, or Technology & Professional Services Coursework or familiarity with SQL or analytics tools Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, Short-Term Disability, Long-Term Disability Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $74,000 - $82,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $74k-82k yearly Auto-Apply 8d ago
  • Manager, Payment Intelligence

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's consulting service line, Payment Intelligence goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence team addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations. In this role, the manager will be responsible for leading Payment Intelligence in client delivery. The position will report to a Payment Intelligence Managing Director. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives. Work You'll Do Proactively lead the team in understanding client needs and challenges, driving initiatives to solve issues and meet goals within specified timelines, while remaining deeply involved in the day-to-day aspects of the work Collaborate with Managing Directors, Vice Presidents, and Directors to set project strategies and ensure alignment with client objectives, all while actively contributing to the project execution Oversee and manage the development, identification and root cause of payment accuracy opportunities through remediation with client counterparts Lead and mentor teams in utilizing analytics to uncover claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc. Drive the advancement of automation solutions for clients ensuring efficiency and scalability Stay ahead of regulatory changes, industry trends, and market shifts impacting health plan reimbursement and translate insights into actionable strategies Ensure the quality and accuracy of client deliverables while managing stakeholder expectations Exercise excellent judgement and clear and direct communication in all aspects of your work Lead, mentor, and coach team members on client and internal projects, fostering a collaborative environment while maintaining active involvement in execution Other duties as assigned Requirements 6+ years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and/or a payer organization 2+ years of people management experience, with proven ability to lead and work closely with teams while also managing day-to-day responsibilities Expertise in claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services Ability to analyze claims to ensure accuracy and compliance Knowledge of industry vendors and tools related to claims processing, provider data, and contract management Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise Experience coaching and mentoring team members Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis, and PowerPoint Strong analytical, data interpretation, and problem-solving skills Ability to identify client savings opportunities and develop actionable business cases Bachelor's degree or equivalent Direct client interaction with possible travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Policy & Claims Editing Expertise Interpretation of healthcare policies and regulations Experience in reimbursement policy writing and claims editing Proficiency in data mining to detect errors and inconsistencies Ability to crosswalk and compare edits and policies Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews Contract Configuration & Provider Data Expertise Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments Understanding of contract carve-outs, including bundled services, readmissions, and reductions Experience in contract pricing and claims reimbursement analysis Ability to price and reprice claims based on contractual agreements Understanding of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration Familiarity with network processes, including Optimization, Adequacy, and Pricing Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.) Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $130,000 - $165,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $130k-165k yearly Auto-Apply 60d+ ago
  • Senior Solutions Architect

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role We are seeking a Senior Solution Architect to lead the design, scoping and delivery of complex, scalable technology solutions across Digital transformation, Data, Cloud, and DevOps projects. This individual will work directly with clients, delivery teams, and leadership to architect modern data and digital platforms, shape technical strategies, and ensure successful project execution. The ideal candidate brings a strong mix of technical expertise, consulting acumen, and the ability to lead end-to-end solution design and delivery. Work You'll Do Architect and implement modern data platforms using technologies such as Snowflake, Databricks, Airflow, and Spark Design and optimize data pipelines, analytics solutions, and business intelligence tools (e.g., Power BI, Tableau, Looker) Lead the delivery of AI/ML, and data governance initiatives across industries Define and implement cloud-native architectures (AWS, Azure) to support digital transformation projects Design and implement automation frameworks and business applications to support client needs Contribute to cloud migration strategies, enterprise modernization, and DevOps automation (CI/CD, infrastructure as code) Work closely with clients to translate business requirements into technical solutions Collaborate with Managing Directors and Directors to align technology strategies with business goals Support delivery teams throughout the project lifecycle to ensure successful outcomes Partner with business development teams to identify technology opportunities, shape solutions, and support proposal development Contribute to SOWs, technical documentation, and client presentations Stay informed on emerging technologies and industry best practices Other duties as assigned Requirements 10+ years of experience in solution architecture, technology consulting, or systems integration roles Strong hands-on experience with at least one major cloud platform (AWS, Azure, or GCP) Deep technical expertise in data engineering, data modeling, and the modern data stack Familiarity with DevOps practices and tools (e.g., GitHub Actions, Jenkins, Terraform) Proven experience estimating, scoping, and leading the delivery of complex technical projects Ability to engage directly with clients, facilitate workshops, and influence senior stakeholders Excellent verbal and written communication skills Willingness to engage in direct client interaction, including travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Technical certifications in relevant platforms or disciplines Knowledge of healthcare-specific regulations and data standards (e.g., HIPAA, HL7) Experience with additional data visualization tools or cloud-based data platforms Based in Chicago, IL and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $175,000 - $210,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $175k-210k yearly Auto-Apply 60d+ ago
  • Senior Consultant, Payment Intelligence

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's Payment Intelligence goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence solution addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations. In this role, the individual will be responsible for leading Payment Intelligence in client delivery. The position will report to a Payment Intelligence Manager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives. Work You'll Do Lead the development, identification and root cause of payment accuracy opportunities through remediation with client counterparts Utilize analytics to uncover claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc. Support the advancement of automation for clients Staying up to date on current events, changes in regulatory requirements and market trends impacting health plan reimbursement Prepare client ready deliverables Exercise excellent judgement and clear and direct communication in all aspects of your work Other duties as assigned Requirements 4+ years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and/or a payer organization Expertise in claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services Ability to identify and analyze mispaid claims to ensure accuracy and compliance Knowledge of industry vendors and tools related to claims processing, provider data, and contract management Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise Experience coaching and mentoring team members Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis Strong analytical, data interpretation, and problem-solving skills Ability to identify client savings opportunities and develop actionable business cases Bachelor's degree or equivalent Direct client interaction with possible travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Policy & Claims Editing Expertise Research and interpretation of healthcare policies and regulations Experience in reimbursement policy writing and claims editing Proficiency in data mining to detect errors and inconsistencies Ability to crosswalk and compare edits and policies Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews Contract Configuration & Provider Data Expertise Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments Understanding of contract carve-outs, including bundled services, readmissions, and reductions Experience in contract pricing and claims reimbursement analysis Ability to price and reprice claims based on contractual agreements Understanding of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration Familiarity with network processes, including Optimization, Adequacy, and Pricing Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.) Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $105,000 - $125,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $105k-125k yearly Auto-Apply 60d+ ago
  • Part Time - Work from Home - Online Product Tester - No experience ($25-$45 per hour)

    OCPA 3.7company rating

    Remote or Port Aransas, TX job

    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested
    $25 hourly 60d+ ago
  • Consultant

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role As an AArete Consultant, you will collaborate closely with clients to understand their most pressing challenges and develop strategies for meaningful change. You will leverage your analytical expertise, entrepreneurial mindset, and commitment to excellence to drive results. With strong critical thinking skills, exceptional communication abilities, and a high-performing mindset, you are recognized as a self-starter. You leverage your analytical reasoning to determine the best ways to evaluate data and identify insightful elements that translate into client findings or recommendations. You take initiative in researching business challenges to understand market conditions, consistently bringing your perspective forward. Your resourceful and innovative approach to problem solving allows you to analyze data and build business cases that support project success and maximize value. In this role, you will apply deep expertise in data analytics, business case development, client stakeholder collaboration, and executive communications. You will be responsible for executing project goals and deliverables with precision while solving complex business challenges for both clients and internal initiatives, giving leadership leverage by providing client-ready, high-quality, insightful deliverables. Your contributions will have a lasting impact, shaping strategies and driving measurable outcomes. Work You'll Do As an AArete Consultant, you will support projects and drive successful outcomes through the following: Conducting in-depth analysis and research to identify and understand market dynamics, industry leading practices, and business challenges Leveraging and conducting data analysis to uncover insights and develop potential solutions for clients Identifying potential solutions to business challenges through research, interviews, internal collaboration with other AArete teams and data analysis Assisting in the creation of business cases, delivering actionable recommendations, and supporting the implementation of initiatives, including cost savings and operational improvement Developing and delivering presentations that communicate key insights and recommendations, concisely presenting information using clear, industry-appropriate language Collaborating closely within your project team to ensure alignment and success, acting as an accountable team member who works together with others to reach a common goal Learning from senior team members and attending trainings to continuously develop your skills and expertise, showing eagerness, curiosity, and reception to feedback Leading and mentoring Analysts, fostering their growth and development by modeling strong communication, accountability, and teamwork Preparing polished deliverables, with a focus on storytelling, for final review with the engagement manager Exercising excellent judgment, clear communication, and a solution-oriented approach in all aspects of your work Managing client stakeholder and vendor relationships to understand challenges, develop solutions and implement improvements Delegating tasks as necessary to accelerate delivery within our Intern, Analyst and global support teams Collaborating across other AArete solutions in identifying client challenges and escalating to leadership to contribute in cross-selling and up-selling Other duties as assigned Requirements 2+ years of experience in consulting, professional services, healthcare operations, or other relevant industries with demonstrated project-based, analytical, and client-facing responsibilities Bachelor's degree required Advanced proficiency utilizing Microsoft Office applications, especially Excel and PowerPoint, and basic SQL for data analysis Strong analytical skills, with the ability to analyze and interpret data, identify client profitability improvement opportunities, and develop actionable business cases Strong professional communication skills, including expertise in written, verbal, and interpersonal communication, as well as in-person presentations Passion to solve challenges for our clients in the healthcare industry, particularly within payer processes and data Ability to work within diverse project teams both internally and client facing Enthusiasm for joining a fast-paced, high-growth company and contributing to the development of business architecture in technology applications and tools High self-motivation, accountability, and a collaborative spirit Willingness to engage in direct client interaction, including travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Strong preference for experience in the payer and healthcare industry, including candidates with provider backgrounds who have worked with payers (e.g., managed care contracting) Experience with healthcare claims analytics and/or network analytics, with strong understanding of payer/provider contracts, reimbursement language, and key terms Experience with AArete's other focus industries: Pharmacy, Financial Services, Retail, Manufacturing, Higher Ed, or Technology & Professional Services Cost reduction and process improvement experience within relevant client industries (Healthcare, Financial Services, Retail, Higher Ed, etc.) Experience in healthcare systems and digital platforms, including Provider Data Management, Claims Adjudication (e.g., Facets, QNXT, etc.), and related tools, with the ability to leverage these systems to improve data quality, operational efficiency, and end-to-end healthcare processes Based in Chicago, IL, and able to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, Short-Term Disability, and Long-Term Disability Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $84,000 - $102,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $84k-102k yearly Auto-Apply 8d ago
  • Part Time - Work from Home - Online Product Tester - No experience ($25-$45 per hour)

    OCPA 3.7company rating

    Remote or Machesney Park, IL job

    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested
    $25 hourly 2d ago
  • Senior Consultant, Payment Intelligence

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's Payment Intelligence goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence solution addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations. In this role, the individual will be responsible for leading Payment Intelligence in client delivery. The position will report to a Payment Intelligence Manager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives. Work You'll Do Lead the development, identification and root cause of payment accuracy opportunities through remediation with client counterparts Utilize analytics to uncover claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc. Support the advancement of automation for clients Staying up to date on current events, changes in regulatory requirements and market trends impacting health plan reimbursement Prepare client ready deliverables Exercise excellent judgement and clear and direct communication in all aspects of your work Other duties as assigned Requirements 4+ years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and/or a payer organization Expertise in claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services Ability to identify and analyze mispaid claims to ensure accuracy and compliance Knowledge of industry vendors and tools related to claims processing, provider data, and contract management Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise Experience coaching and mentoring team members Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis Strong analytical, data interpretation, and problem-solving skills Ability to identify client savings opportunities and develop actionable business cases Bachelor's degree or equivalent Direct client interaction with possible travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Policy & Claims Editing Expertise Research and interpretation of healthcare policies and regulations Experience in reimbursement policy writing and claims editing Proficiency in data mining to detect errors and inconsistencies Ability to crosswalk and compare edits and policies Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews Contract Configuration & Provider Data Expertise Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments Understanding of contract carve-outs, including bundled services, readmissions, and reductions Experience in contract pricing and claims reimbursement analysis Ability to price and reprice claims based on contractual agreements Understanding of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration Familiarity with network processes, including Optimization, Adequacy, and Pricing Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.) Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $105,000 - $125,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $105k-125k yearly Auto-Apply 60d+ ago
  • Part Time - Work from Home - Online Product Tester - No experience ($25-$45 per hour)

    OCPA 3.7company rating

    Remote or Oyster Bay, NY job

    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested
    $25 hourly 60d+ ago
  • Consultant, Payment Intelligence

    Aarete 4.1company rating

    Aarete job in Chicago, IL

    AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's consulting service line, Payment Intelligence , goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence team addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations. In this role, the individual will be responsible for client delivery of Payment Intelligence . The position will report to a Payment Intelligence Manager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives. Work You'll Do Support the development, identification and analysis of payment accuracy opportunities through remediation with client counterparts Utilize analytics to identify claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc. Support process improvements and automation initiatives for clients Conduct research on current events, changes in regulatory requirements and market trends impacting health plan reimbursement Contribute to the preparation of client ready deliverables with clear and actionable insight Exercise sound judgement and clear and direct communication in all aspects of your work Other duties as assigned Requirements 2+ years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and/or a payer organization Foundational knowledge of claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services Ability to identify and analyze mispaid claims to ensure accuracy and compliance Knowledge of industry vendors and tools related to claims processing, provider data, and contract management Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise Experience coaching and mentoring team members Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis Strong analytical, data interpretation, and problem-solving skills Ability to identify client savings opportunities and develop actionable business cases Bachelor's degree or equivalent Direct client interaction with possible travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements Policy & Claims Editing Expertise Research and interpretation of healthcare policies and regulations Experience in reimbursement policy writing and claims editing Proficiency in data mining to detect errors and inconsistencies Ability to crosswalk and compare edits and policies Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews Contract Configuration & Provider Data Expertise Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments Understanding of contract carve-outs, including bundled services, readmissions, and reductions Experience in contract pricing and claims reimbursement analysis Ability to price and reprice claims based on contractual agreements Understanding of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration Familiarity with network processes, including Optimization, Adequacy, and Pricing Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.) Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer paid Life Insurance, STD, LTD Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program The estimated base salary range for this position is $84,000 - $102,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification™ and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
    $84k-102k yearly Auto-Apply 60d+ ago

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