Principal Consultant - Medicare

Oracle Oracle · Enterprise · Kansas City, MO +1

This role is for a Principal Consultant at Oracle Health focused on Medicare and Medicare Cost Reporting projects for state government clients. The consultant will act as a subject matter expert, understanding Medicare data, tax filings, and analytics, and will be responsible for requirements, project plans, and client satisfaction. The role involves partnering with data scientists on predictive models for financial evaluations and fraud vulnerabilities.

What you'd actually do

  1. Understand Medicare data, data design, and relationships pertaining to the member, provider, and claim
  2. Partner with the Oracle Health State Government strategy leads to construct Medicare Cost Report solutions using Oracle platform and tools
  3. Understand and communicate tax filing rules for CMS filing of Medicare Cost Report
  4. Create novel and standard insightful and "actionable" analytic designs
  5. Partner with data scientists on predictive and engagement models for financial evaluations and fraud vulnerabilities

Skills

Required

  • Medicare expertise
  • Medicare Cost Reporting
  • Data analysis
  • Requirements gathering
  • Project management

Nice to have

  • Oracle platform and tools
  • Predictive modeling
  • Fraud detection

What the JD emphasized

  • Medicare data
  • Medicare Cost Reporting projects
  • Medicare Cost Report solutions
  • Medicare Cost Report