and/or client account management. Power BI and Cotiviti expertise. Knowledgeable in using various analytical approaches to problem...
handled by the individual will include, but is not limited to;correspondence, HQSI/ESMSEF appeals and Cotiviti disputes... agent or Cotiviti. Review new dispute receipts to confirm request is valid and to identify the appropriate dispute agent...
Measures main software (Cotiviti) data and refreshes plus other Supplemental Data Sources (SDS) ◦ CAHPS samples and outputs... or decision-maker during an audit Familiarity with HEDIS vendor platforms (e.g., Cotiviti) Experience supporting CAHPS...
and execution of HEDIS vendor platforms (e.g., Cotiviti): Manages test, early production, and production run sequencing Oversees..., including Cotiviti output files, attest uploads, NCQA IDSS technical files (XML/CSV) and State submissions, as applicable...