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Pricing and cost control specialist

Le Mont-sur-Lausanne
Figeas SA, Société de services du Groupe Assura
Inserat online seit: 10 Juni
Beschreibung

Join Assura, it is evolving in a dynamic environment.Tariff Control and Cost-Efficiency SpecialistJoin Assura, it is evolving in a dynamic environment where everyone plays an essential role and contributes to a mission that makes sense. Every day, we put our energy and expertise at the service of our clients, to support them in their health decisions.Want to join us? Then, nice to meet you!Tariff Control and Cost-Efficiency SpecialistWithin our team dedicated to tariff control and fraud prevention, you occupy a key role by steering the analysis of healthcare providers every day. Your objective? Identify discrepancies, guarantee compliance with legal bases (LAMal/LCA), and ensure efficient use of resources, while maintaining a constructive relationship with the partners you deal with daily.What you do on a daily basisYou manage the role of analyst and tariff specialist: you collect relevant data to establish reports using available tools or by making requests to the dedicated department. You process this data with specific indicators (benchmarking, trends, proportions, etc.), then you carry out targeted checks based on the discrepancies identified. Finally, you analyze, synthesize, and propose solutions or concrete actions.You also ensure a role of coordinator: you communicate the results of your analyses internally. You implement the defined actions and follow up with the various departments concerned (invoice control, blocking parameterization, etc.). You also participate in transversal projects.You take charge of the relationship with healthcare providers in case of deviations: you conduct exchanges to obtain a refund, a correction of billing practices, or any other necessary action. You collaborate with the legal department if a procedure must be initiated before the authorities.What you bring to the teamYou master analytical and numerical skills: you know how to manipulate data, produce reliable analyses, and present them clearly. You write structured and relevant summaries, and you work with complete autonomy. You also have strong communication skills and you know how to lead negotiations.You are a tariff specialist in the health sector: you use Microsoft tools, particularly Excel at an advanced level, and you exploit tools like SQL, Power BI, or equivalents. You rely on basic legal knowledge to analyze and interpret the data.You have a commercial background, in the health sector, or from a university of applied sciences, and you have acquired at least 5 years of experience in health insurance or in a hospital environment, in an analyst or control function.Benefits- 40-hour work week (at 100%)- Minimum 5 weeks of vacation- Possibility of monthly contribution to home-to-work travel expenses if using a public transport subscription- Social benefits and significant reduction on health insurance- Internal onboarding programEntry date: September 1stActivity rate: 100% jidd9cd811aen jit0624aen jpiy26aen

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