Coding System (HCPCS) codes. Requires at least 3 years of experience in Health Care (managed care, academic, or gov't payer... of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends...
Terminology) codes, Diagnostic Related Group (APR-DRG/MS-DRG) codes or Healthcare Common Procedure Coding System (HCPCS) codes... of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends...
) system migration cutover plan 5+ years of experience with core admin system payer integration , preferably HealthRules (HRP... partner's ecosystems. Collaborate with the Business Solution Architect, stop loss SME(s) and client to understand future state...
reporting across multiple quality payment programs, including the Merit-based Incentive Payment System (MIPS) and other payer.... Collaborate closely with cross functional teams – including other account managers, sales, IT, development, business analyst...
The Manager, Health Plan Performance (HPP) will play a pivotal role in advancing key business objectives for Aledade... effectiveness of the HPP team. \n Primary Duties: Manage analyses conducted by Analyst(s) from various internal and external...
-sponsored healthcare services. ABOUT THE JOB The Senior Data Quality Analyst plays a critical role in ensuring the accuracy... within a healthcare, payer, or provider organization or equivalent combination of education and experience. Strong understanding...