and gap closure. Translate quality measure specifications (CMS Star Ratings, HEDIS technical specifications, NCQA... with data analytics and reporting teams to ensure quality measure data feeds are accurate, timely, and aligned with CMS...
, website, spreadsheets, and CMS-1500). Validating coverage and eligibility prior to claim billing. Resolve insurance problems...
, managing budgets, and using operational and financial data to drive decisions. Working knowledge of CMS, state regulatory...
Office (Word, Excel, PowerPoint, Outlook), intranet/internet and Contact Management System (CMS) Preferred: Bachelor...
including participation in accreditation preparation and survey process, and maintenance of accreditation, state, and CMS...
. We are proud to be an industry leader in CMS 4- and 5-star rated centers for patient experience and quality of care...
activities Proficiency with MS Office (Word, Excel, PowerPoint, Outlook), intranet/internet and Contact Management System (CMS...
Commission, or CMS surveys, as required by service line(s) supported LICENSES/DESIGNATIONS/CERTIFICATIONS: CPHRM Preferred...
. We are proud to be an industry leader in CMS 4- and 5-star rated centers for patient experience and quality of care...
that support effective program operations and compliance with CMS requirements, URAC standards, contractual obligations... as a Registered Nurse, Certified Case Manager (CCM), or licensed Social Worker in the State of Oklahoma. Experience supporting CMS...