Job Description: Leadership Identify, initiate, and manage organization-wide projects to ensure that all HMSA's Medicaid Program contractual obligations are met or exceeded. Manages necessary changes to existing systems, operations ...
Job Description: Coordinate and monitor daily production schedule Tracks promotion requests in a log or via production control software Assists systems & application development team in problem resolution Other duties as assigned #...
Job Description: Revise and/or develop medical policies in conjunction with assigned medical director... and in accordance with Development and Approval of Medical Policy administrative policy;process includes appropriate and timely...
analysis & implementation: Learns to assess business impact of new benefits, changes in medical or reimbursement policies... project implementations and pend resolution updates. New Code Implementation: With the guidance of the Healthcare service...
Job Description: Participates in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. Manage workflows to meet sub-project timeframes. Parti...
Job Description: Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Leads and/or participates in the project planning ...
Job Description: Assists in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. May manage workflows to meet sub-project timeframes. Partic...
service issues Discuss strategic issues related to specific accounts with AMS Leadership on a timely basis, offering..., outstanding customer service skills Demonstrated, strong planning and organization skills Demonstrated, strong decision-making...
independently. Benefit and policy analysis & implementation: Assess business impact of new benefits, changes in medical... new codes in assigned categories, work with Medical Management and Configuration to ensure appropriate claims processing...
Job Description: Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer pe...