Healthcare Consultant Jobs at Milliman
Are you passionate about transforming the healthcare industry through innovative consulting solutions? Milliman is seeking talented individuals for healthcare consultant jobs, offering an exciting opportunity to work on critical issues in healthcare financing and risk management. With a focus on clinical coding and medical claims analysis, the Healthcare Consultant Jobs in Haryana are ideal for those with expertise in healthcare data analytics and operations. Dive into the world of healthcare consulting and make a difference with Milliman.
About Milliman:
Milliman is a global consulting firm that has been independent for over 75 years, delivering market-leading services and solutions to clients worldwide. The organization addresses some of the most critical issues in healthcare financing and risk management. With a diverse team of professionals, including actuaries, clinicians, and technology specialists, Milliman offers unparalleled expertise across various sectors, including healthcare, life insurance, and financial services. This commitment to excellence makes Milliman a significant player in the healthcare consultant jobs landscape.
Job Details:
- Job Category: Consultant (Non-Actuarial)
- Requisition Number: CLINI010617
- Employment Type: Full-time
- Work Location: On-site
Job Description:
The Clinical Analyst role at Milliman focuses on healthcare consultant jobs, requiring expertise in clinical coding, medical claims analysis, and reimbursement methodologies. The successful candidate will support the development of clinical rules for claims adjudication and contribute to various consulting projects for healthcare payers and providers. This position demands a strong knowledge of healthcare data analytics and operations, particularly within the Middle East market.
Key Responsibilities:
- Perform clinical coding reviews and code mapping across healthcare coding systems such as ICD-10-AM, ACHI, and AR-DRG.
- Ensure coding consistency and compliance with applicable standards and payer policies.
- Conduct healthcare data quality assessments and identify opportunities for process improvement in the Healthcare Consultant Jobs.
- Analyse medical claims data to identify discrepancies and reimbursement opportunities at Milliman.
- Support the design and validation of clinical rules for claims adjudication.
- Participate in consulting projects related to clinical code mapping and claims audits.
- Develop analytical reports and documentation for client deliverables.
- Engage in stakeholder discussions and support project execution across multiple workstreams.
Eligibility Criteria for the Healthcare Consultant Jobs:
- Bachelor’s degree in Medicine or a related healthcare discipline.
- Certifications in ICD-10-AM/ACHI and working knowledge of coding systems.
- 2–4 years of experience in clinical coding, health insurance, or healthcare consulting.
- Strong understanding of clinical coding standards and medical claims lifecycle.
- Experience performing claims reviews and reimbursement analyses.
- Strong analytical and problem-solving skills.
- Advanced proficiency in Microsoft Excel or similar analytics tools.
- Ability to manage multiple project priorities effectively.
