Senior Manager, Provider Reimbursements
by: Effectively conducting meetings and discussions to achieve collaboration, trust, and consensus Achieving service commitments...
by: Effectively conducting meetings and discussions to achieve collaboration, trust, and consensus Achieving service commitments...
knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim...
Job Description: Financial Performance Management & Business Planning Leads program-level financial performance routines (budget tracking, variance drivers, and corrective action plans). Develops business cases and financial impact ...
and policy analysis & implementation: Learns to assess business impact of new benefits, changes in medical or reimbursement... service analyst II, learns how to load new codes, downloading, processing and importing new codes (CPT, HCPC, ICD-10...
Job Description: Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and supp...
, and business-aligned service delivery. Ensures the cloud services environment delivers high availability, resilience, scalability... capabilities, automation, and modern operational practices to improve service quality, efficiency, and speed to value. Establishes...
service events throughout the year, to represent HMSA at public events. Administrative Maintain accurate records... but not limited to Word, Excel, Outlook, and PowerPoint. Active license with the state of Hawaii Department of Commerce and Consumer...
Job Description: Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical... director and in accordance with Development and Approval of Medical Policy administrative policy;process includes appropriate...
Job Description: Encounter Submissions Management Communicates with LOB leads and Governance Finance Director on the necessary information and context for strategic business decision making. Establishes schedule for meetings and del...
of courtesy, caring, helpfulness, and respect. Conducts oneself in a service-oriented manner that is attentive, pleasant...