New to healthcare consulting. I’m trying to learn more about the different domains of work. When individuals say they work for or support payers, what types of projects could this entail?

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It’s super broad. You have projects in enrollment, billing, group, federal government, state government, individual ACA, network optimization, provider contracting, claims processing, customer service, etc

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Great summary also general tech and modernization work.

Also start using “payor” instead of “payer” and you will sound more connected to the industry.

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anything for health insurance, aka the payers of healthcare rather than the providers (docs, hospitals) of healthcare

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Lots of crossover work nowadays too with providers. Right now, I am working on a health information exchange (HIE) project and it spans across payers, providers and EMR vendors.

Feel free to DM me! Currently with Optum...

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