Admin/platform, Call Center/Member Services, Eligibility/Enrollment, Provider Operations/Data, Payment Integrity... tissue across Claims, Core Platform, Call Center, Support Functions, IT, and Finance-turning complex work into executive...
Program Manager/ Product Owner (PCENT01) to support requirements for a State Government Medicaid Management Information System... Department's transition from primarily a fee-for-service payer of claims towards a program and policy driver for health outcomes...
engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than... will support the development and execution of healthcare marketing strategies that drive revenue and support business objectives...
, and MCO payments Serve as the primary risk manager for RMMIS program Issue management Change management Ensure RMMIS... is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm...
from primarily a fee-for-service payer of claims towards a program and policy driver for health outcomes primarily through managed... Replacement MMIS Program are: Administrative Services Organization (ASO) for medical claims processing Pharmacy Benefits...