and Centers for Medicare and Medicaid (CMS) conditions of participation. Responsibilities: Evaluate organizational compliance...
following areas would be considered a “plusâ€: Medicaid rate-setting Reserving and year-end statutory financials (“blue...
experience in one or more of the following areas would be considered a “plusâ€: Medicaid rate-setting Reserving and year-end...
experience 3+ years of experience monitoring and analyzing Medicaid HEDIS® Retrospective projects 3+ years accessing...
could be needed from time to time) Preferred Qualifications: CPHQ certification Vendor Management experience Medicaid experience...
will be required Preferred Qualifications: Experience with regulatory/financial reporting Experience with Medicaid encounters...
Certification 2+ years of healthcare domain focused on: Medicaid/Medicare and Commercial data Proficiency and exposure to Hospital...
Certification 2+ years of healthcare domain focused on: Medicaid/Medicare and Commercial data Proficiency and exposure to Hospital...
Sigma certified. Medicare Advantage experience Commercial/Medicaid experience Operational healthcare experience...
including Commercial Business, Medicaid, Medicare, or the HealthCare/Medical Industry in general Experience w/ Claims based...