UM QA for Utilization Management
’ experience in US Healthcare in utilization management and/or Quality Assurance review · HealthEdge HRCM, JIRA or Guiding Care...
’ experience in US Healthcare in utilization management and/or Quality Assurance review · HealthEdge HRCM, JIRA or Guiding Care...
such as: Healthedge / Health Rules Note: If interested please send your updated resume to [email protected] and include...
such as: Healthedge / Health Rules Requirements: Note: If interested please send your updated resume to Gowri.Sankar@two95intl...
of working with SOWs, SLAs, and Change Requests · Experience working with SaaS providers and HealthEdge applications...
with healthcare payer platforms such as HealthEdge, TriZetto, NASCO, Advantasure, or Change Healthcare. · Strong experience mapping... is a plus. · Experience with HealthEdge applications such as HealthRules Payor or GuidingCare preferred. · Skills & Competencies...
providers and HealthEdge applications is a plus · Experience managing health of production application environments...
such as HealthEdge, Mphasis or Facets. Familiarity with real-time editing systems and custom rule development. Edifecs experience...
’ of people leading experience Experience with claims platforms such as HealthEdge, Mphasis, or Facets Knowledge of CPT, HCPCS...
, or related occupation. Hands-on experience with core payer platforms such as Facets, QNXT, HealthEdge, Epic Tapestry...
;ability to collect and conduct interactive data analysis. Extensive knowledge of IDX, Facets, QNXT, Healthedge, HPS...