Objectives and Key Deliverables
We are looking for a consultant with experience in healthcare payment integrity service space. This person would have first-hand experience as an industry executive or a consultant in one or more of the following areas: out-of-network claims management; claim repricing; fraud, waste, and abuse prevention; code editing; and negotiations. Any exposure to self-insured companies and TPAs is a plus.
Project objectives are to understand market and competitive dynamics of this niche market, including establish size and growth rate of the market, competitive landscape, and key trends.
We are primarily looking for someone to provide expertise in this space. Depending upon the background of the consultant, work may also involve conducting interviews, profiling competitors, and creating powerpoint slides.
Experience in healthcare payment integrity space