providers and the identification and qualification of new external partners. Author, verify and archive documents in a GMP... applicable CM process Provide the necessary QCC support for outsourced analytical work Develop/align local processes/workflows...
Senior Managed Care Specialist partners with Finance, Revenue Cycle, Operations, and payer representatives to ensure contract... such as EPSi and Tableau In-depth understanding of ICD-10 CM/PCS, HCPCS, CPT, and MS-DRG coding frameworks as they relate...
and collaborating with CM, PM, and customer for resolution thru the RFI process. Manage project review process with particular emphasis..., initiates timely communication with stakeholders, and drives resolution to maintain schedule and project alignment. Partners...
construction management organization and oversees EPC/CMpartners and trade contractors. The role ensures that construction... supervision. Provide governance and oversight of EPC/CM contractors and trade contractors to ensure alignment with project...
and trends at State level in: UM, CM, Pop Health and Health Equity in order to identify risks and opportunities for improvement... 3. Serve as clinical executive leader for State regulators, providers, and other key partners. Serve as clinical leader...
matter expertise for configuration and data management activities across our program, suppliers, and partners. CM analysts.... Develop solutions for complex issues independently. Generate CM metrics as needed. Assist in implementing innovative...
as a subject matter expert in clinical documentation and coding best practices for both internal and external partners... pertaining to Risk Adjustment. Maintains current knowledge of ICD-10-CM codes, CMS HCC Model and updates, CMS documentation...
— and why Driving innovation to the benefit of clients through various collaborative delivery methods (DB, PDB & CM/GC) Shaping long..., Designers, Trade Partners, Operations and Executive Leadership Our client’s Preconstruction teams work on highly complex...
from a Commercial business perspective, including near-real-time CM-CRM-CDW synchronization, canonical data feeds, and next-gen identity... to translate complex business requirements into technical specifications and manage cross-functional delivery with IT partners...
interface between Engineering, Construction, Quality, Validation, Operations, and external partners. Capital Project Manager... and execution, including site logistics, sequencing, and safety Manage contractors, CM firms, and vendors to ensure efficient...