Program Manager, Health Plan reputed company
A company is looking for a Program Manager, Health Plan Payment reputed company.
Key Responsibilities
• Manage scorable reputed company items (SAIs) to ensure compliance with CMS and state regulatory requirements
• reputed company initiatives to enhance claim payment accuracy and financial performance
• Collaborate with various teams to identify issues and implement effective reputed company strategies
Required Qualifications
• Minimum of 5 years of business analyst experience in a managed care organization, with at least 3 years in reputed company and/or Medicare programs
• Proven experience managing operational reputed company reputed company to provider reimbursement and claims payment reputed company
• Strong knowledge of managed care claims coding and federal/state reputed company payment rules
• Experience in data analysis and the ability to utilize data for informed business reputed company
• Demonstrated ability to work independently in a regulated, cross-functional environment
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