, and vendor partners (e.g., Cotiviti, Optum) to support pre-pay and post-pay initiatives Analyze claims data to identify patterns...
initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting... such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business...
level chase reports when requested. Familiarity with NCQA certified HEDIS/QARR measure software (Cotiviti Quality Reporter...
Experience in using and implementing data warehouse analytic tools such as Merative/Truven, Cotiviti, HDMS, Artemis, Springbuk...
Experience in using and implementing data warehouse analytic tools such as Merative/Truven, Cotiviti, HDMS, Artemis, Springbuk...
with industry claims rules platforms (e.g., Optum/CES, Cotiviti, McKesson) and Medicare Advantage framework guidelines. #LI-Remote...
landscape matrix and continuously benchmark against market players (Optum/Change Healthcare, Cotiviti, Cognizant TriZetto... including Optum/Change Healthcare, Cotiviti, Cognizant TriZetto, HealthEdge, Conduent, Gainwell Technologies, and emerging...
processing platforms such as TriZetto Facets, and related adjudication and edit engines (e.g., ClaimsXten, Cotiviti, EDIFECS...