Medical Cost Senior Consultant - TSM at Triple S
Guaynabo, Puerto Rico, USA -
Full Time


Start Date

Immediate

Expiry Date

01 Nov, 25

Salary

0.0

Posted On

03 Aug, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Hospital/Health Care

Description

ABOUT US

At Triple S, we are committed to provide meaningful job experiences for Valuable People (Gente Valiosa). We encourage an environment of very high ethical standards, always excelling in service, collaboration among the company, agility to deliver timely, and embracing accountability for results.
When you join Triple S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.
Let’s build healthier communities together, join now!

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Responsibilities

ABOUT THE ROLE

The Medical Cost Senior Consultant is a strategic and analytical role that supports and leads initiatives that identify, analyze, and manage medical cost and revenue drivers across our health plan lines of business. This role will work cross-functionally with Clinical, Finance, Network, Pharmacy, and Analytics teams to drive initiatives that improve affordability and value. The ideal candidate combines strong data-driven decision-making skills with deep knowledge of Health Plan Operations, Clinical Operations, Provider Contracting, and Network Strategy.

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