Role Overview As key leader of the Enrollment Operations Team, the Director, Enrollment Data Integrity (Director...) is responsible for overseeing all enrollment, fulfillment, and PCP assignment data solutions for all product lines. This position...
and Medicaid remittance denial data, and works with Revenue Integrity Manager to help resolve related issues. Analyzes... the Revenue Integrity Manager and Administrative Director of Contracting and Revenue Recovery with proposed operational...
transmission of eligibility, enrollment, claims, and encounter data. Collaborate with IT and data governance teams to maintain... data integrity and resolve issues related to electronic data interchange (EDI) Monitor performance of data exchange...
managed care enrollment broker for the managed care program) to ensure the operational integrity of MAP's managed care program...Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance...
and encourage applications from candidates of all backgrounds. We are seeking a talented and motivated Director, National Accounts..., Managed Markets to join our team. The Director, National Accounts (DNA) for Managed Markets will be a remote (preferably...
in their respective states and enrollment is open to all students. KIPP public charter schools are given more academic and budgetary... will support all KIPP MA schools and will report directly to the Director of Special Education. This role requires consistent...
for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory... D enrollment and CMS (Center for Medicare/Medicaid Services) Standards. Education High school diploma or GED required, Bachelors...
in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. Demonstrable... healthcare ecosystem requires complete end to end testing in the specialty domain. Test data is analyzed to inform decision...
and standards (HIPAA, CMS, JCAHO, etc.). Conduct regular audits to verify data accuracy, system integrity, and regulatory..., state, and clinic regulations. This role manages health information systems to ensure data accuracy, security...
for improvement. Analyze issues using enrollment, utilization, clinical, medical management, financial and other corporate data... to corporate standards for performance metrics, data collection, data integrity, query design, and reporting format to ensure...