-to-end product development, including state launches and product adjustments, while maintaining P&L responsibility..., pricing models, and state-specific adjustments, with a focus on achieving P&L targets. Conduct market research, competitor...
your expertise in Oracle databases, Exadata with Multitenant architecture, RAC, Grid Infrastructure, Data Guard, Oracle Golden Gate... architecture, including pluggable databases (PDBs) and container databases (CDBs). · RAC and Grid Infrastructure: Configure...
appeals writing for RAC, Medicaid RAC, payer and other government denials. Provide process improvement initiatives through... the dollar total amounts for each discrepancy and submits necessary documents for adjustments 4. Negotiates...
of project deliverables. Monitor project progress and make adjustments as necessary to ensure successful project completion...: Bachelor's degree in Engineering, Life Science or related discipline preferred. Licenses/ Certifications: RAC preferred...
that audit adjustments are made and corrective actions are taken to address identified billing, charging, and documentation... and counterparts at payers as appropriate. Coordinates Recovery Audit Contractor (RAC) audits and direct appeal activity related...
and following up on all payer audit record requests, audit responses and appeals for the CMS Recovery (RAC) Program, CMS Medicaid.../statuses or abuses. Essential Functions Receives, logs and tracks all RAC, MAC, CERT, other Government payer audit...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...