Job Description: Program Leadership Function as the leader and champion of the Medicare Stars Program, risk adjustment operations, and Medicare cost of care initiatives. Collaborate with internal and external stakeholders to establi...
of public contact/customer service experience;or an equivalent combination of education and experience. Strong oral...
including, but not limited to Legal, Medical Management, Provider Operations and Claims Administration. Perform...
Job Description: Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recomme...
Job Description: Work with business owners on reporting requirements specified by government entities and plan sponsors ensure Customer Relations is compliant with the requirements. Define and communicate system changes needed to com...
Job Description: Program Coordination and Oversight Independently plan, coordinate and facilitate meetings with stakeholders, ensuring agenda and related materials are accurate and properly prepared. Coordinate, prepare, and ensure ...
with electronic medical records (i.e., EPIC, HHIE). Reliable transportation to perform in person (Face to Face) meetings with members...
Job Description: Research problems and concerns from providers to respond to claims, policy and reimbursement issues in a timely and accurate manner. Proactively resolve problems to ensure necessary compliance and build trust and strong ...
to estimate performance needed to meet each stakeholder service level expectations. Serve as Customer Relations subject matter...
Job Description: Ensure that Self Direct Providers (SDP) and members are enrolled in Acumen and are trained to use the Electronic Visit Verification System (EVV). Audit enrollment for completion. Train new Health Coordinators (HC) in Ac...