Description
RISING Overview:
Headquartered in Chicago, RISING Medical Solutions is a privately-held, financial solutions organization offering medical cost containment and care management services. With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 employers, third party administrators, and government organizations. At RISING, we’re committed to:
- Continuous technological improvement
- Entrepreneurial attitude
- Seven core values that emphasize teamwork, ethical behavior, customer service, continual improvement, positive attitude, focusing on what's really important, and keeping a sense of humor
- Responding quickly to client needs
- Being the best, not the biggest
The Role
- the needs of internal and external customers and develop analytical reporting processes to support those customers.
- Create user-friendly tools to allow users to interact with Rising data.
- Develop product and line of business analysis.
- Develop and refine quality and timeliness measures.
- Identify, report, and assist with business data issues and validations.
- Participate in ongoing training to enhance own job skills and knowledge.
- Strive to adhere to the Rising Core Value of delighting customers, above and beyond the call of duty, and coach team to do the same.
- Other duties may be assigned based on company needs.
- Can work remote
Requirements
Education/Training
- Bachelor's Degree required or equivalent experience.
- Possess a strong understanding of the business practices of the work comp or managed care industries.
Experience
- 4+ years experience with SQL, PostGreSQL, Excel, data analysis, and ad-hoc query development
- 2+ years experience with Tableau
- 2+ years experience working with data files (Fixed Width, Delimited, XML)
- Other medical/health care/insurance industry experience a plus
- Medical bill review or workers compensation experience, or administrative support for utilization review a plus
Skills/Competencies
- Ability to communicate clearly and effectively in both written and verbal contexts
- Demonstrates initiative and has a positive attitude towards change
- Ability to effectively present information and respond to questions from peers, clients, and providers.)
- Practical and conceptual problem-solving skills and analytical thinking
- Meticulous attention to detail
- Ability to read, analyze, and interpret technical procedures, medical reports, contract language, state laws and fee schedules, and CPT codes a plus
- Excellent time management skills and ability to multi-task
- Ability to plan
- Proven customer service skills; Strong ‘people’ skills
- Ability to accurately work independently and as part of a team
- Highly organized and focused
- Ability to identify and evaluate problems and areas needing improvement, recommending solutions to management
- Advanced proficiency with Microsoft Excel
- Advanced proficiency with Tableau preferred
- A desire to continue to learn and improve both self and the organization
- Goal oriented with a strong commitment to success
- A professional presence
Benefits
- Compensation commensurate with skills and experience.
- Competitive benefits package.
- Employment within a firm committed to core values, staff development, emerging technology, entrepreneurial attitude, private ownership, and controlled growth/reinvestment in the future.
- Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
- Daily interaction with some of the most talented people in the medical cost-containment industry.
