Eds – Electronic Data Systems Health Division, Dallas, Tx, Boston, Cambridge, Ma Work Values

Daily Duties at Eds – Electronic Data Systems Health Division, Dallas, Tx, Boston, Cambridge, Ma :

Gathered business solution claim information and captured large amounts of complex medical financial claims (risk pools) data to assess rates charges saving the HMO about $3 million over a 5+ year period. Presented updated mathematical and programmatic methods to HMO-Blue executives to enable better negotiation of contracts with physicians and clinics. Correlated diagnosis using ICD Codes, Claim Processing and rate structures. Assisted accountants by producing a "Financial Results" document for HMO-Blue. Outlined its financial status, client risk pools and progress within various departments for re-engineering/accounting projects towards goal completion. As a Mission Critical Contractual Agreement of EDS’s $100 Million contract with BCBSMA, engineered database warehouse programmatic updates for statewide Medicare A & B reimbursement claims , ensuring compliance to SLA requirements avoiding heavy financial penalties maintaining financial/technical integrity. Worked with physicians and pharmacist on data warehousing on formularies, ensuring quality control and compliance to state and federal and corporate regulatory controls. Designed algorithms for extraction of data from IBM mainframe, and provided analysis of hidden trends, financial information, benchmarks, medical claims data and health demographics for the HMO that achieved a four-star rating for HMO-Blue noted in NEWSWEEK, June 24, '96, achived a Top 20 Rating.

What they like about Eds – Electronic Data Systems Health Division, Dallas, Tx, Boston, Cambridge, Ma :

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

SAS, Excel, Oracle

Skills

P&L responsibilities, Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Sales Support, Software Implementation, Requirements Analysis & Specification, Leadership

These are some of the questions we asked our climbers about their experiences with Eds – Electronic Data Systems Health Division, Dallas, Tx, Boston, Cambridge, Ma :