Manager Business Consultant
CurrentNetwork Cost Management Strategic Consulting Manager supports Medical Cost Management Solutions Team to deliver on the total cost of care.
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1 phone found area 860
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Lisa Muth is listed as Manager Business Consultant at Meritain Health, a with 1111 employees, based in Cincinnati Metropolitan Area, United States. AeroLeads shows a work email signal at fuse.net, phone signal with area code 860, and a matched LinkedIn profile for Lisa Muth.
Lisa Muth previously worked as Population Health Management at Aetna and Consultant Office of Medical Policy & Technology Assessment at Anthem. Lisa Muth holds Ahima Approved Icd-10 Cm Pcs Trainer from Ahima.
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AeroLeads found 1 current-domain work email signal for Lisa Muth. Compare company email patterns before reaching out.
Highly successful and industry respected Healthcare Professional with excellent skills in establishing effective working relationships with key industry players (physicians, providers and regulatory agencies). An energetic and dynamic executive with the ability to build shared visions and to focus on providing high quality care at consistent costs.• Healthcare Reimbursement and Audit Management: A healthcare services and equipment pricing expert who quickly gains confidence of key stakeholders (physicians, executives and a diverse mix of healthcare suppliers) by developing, managing, and implementing clinical and reimbursement policies. • Audit: A knowledgeable medical professional with key skills in auditing “out-of-normal range” costs with a clear focus on controlling them. Conduct facts-based review of medical charts, bills and providers' contracts to identify reasons for abnormal charges.• Professional Coding: Confident in evaluating and pricing new medical technologies by collaborating with a multi-disciplinary team and establishing reimbursement levels.• Compliance: Valued consultant for standards for coding and reimbursement of healthcare services.• Industry Subject Matter Expert: Industry coding and pricing rules expert who enables contract development policies for controlling costs and ensuring high-quality service delivery. Listed as an industry expert presenter and facilitator of coding and reimbursement seminars at local American Academy of Procedure Coders (AAPC) meetings. • Clinical Nursing: Significant clinical nursing experience focusing on best practices and quality patient care. Recognized expert who trains and educates nurses on hospital policy and procedures.Specialties: Healthcare revenue cycle management (billing, coding, reimbursement, compliance, and audit)
Listed skills include Healthcare, Health Insurance, Medicare, Hospitals, and 46 others.
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Network Cost Management Strategic Consulting Manager supports Medical Cost Management Solutions Team to deliver on the total cost of care.
Provide support to high-performing Medicaid team in the local health plan market and be responsible for management of relationships with key providers tied to Medicaids accountable care delivery model. Monitor analytics and utilization/quality/cost trends and early identification of care intervention opportunities for our accountable care partners.
Cincinnati, Ohio
Completed analysis and development of clinical policy criteria for health plan implementation for all lines of business.
Managed, developed and implemented local market cost trend initiatives to manage health cost trends to improve clinical and quality outcomes and revenue cycle efficiency
Managed, developed, implemented and communicated reimbursement and audit policy loaded into 14 state level claim payment systems resulting in controlled costs and consistent reimbursements.
Other employees you can reach at meritain.com. View company contacts for 1111 employees →
Crystal Baldwin
Colleague at Meritain HealthJackson, Michigan, United States
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Rich Earl
Colleague at Meritain HealthJacksonville, Florida, United States
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Scott Vote
Colleague at Meritain HealthPhiladelphia, Pennsylvania, United States
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Stephanie Walsh
Colleague at Meritain HealthGrass Lake, Michigan, United States
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Corrina Jacobson
Colleague at Meritain HealthHopkins, Minnesota, United States
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Luke Sopa
Colleague at Meritain HealthEnglewood, Colorado, United States
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Terry Meemken
Colleague at Meritain HealthAvon, Minnesota, United States
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Judy Hanson
Colleague at Meritain HealthMinneapolis, Minnesota, United States
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Melissa Mcgovern
Colleague at Meritain HealthGreater New Orleans Region, United States
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Christine Borek
Colleague at Meritain HealthLansing, Michigan, United States
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Quick answers generated from the profile data available on this page.
Lisa Muth works for Meritain Health.
Lisa Muth is listed as Manager Business Consultant at Meritain Health.
AeroLeads has found 1 work email signal at @fuse.net for Lisa Muth at Meritain Health.
AeroLeads has found 1 phone signal(s) with area code 860 for Lisa Muth at Meritain Health.
Lisa Muth is based in Cincinnati Metropolitan Area, United States while working with Meritain Health.
Lisa Muth has worked for Meritain Health, Aetna, Anthem, and Humana Inc..
Lisa Muth's colleagues at Meritain Health include Crystal Baldwin, Rich Earl, Scott Vote, Stephanie Walsh, and Corrina Jacobson.
You can use AeroLeads to view verified contact signals for Lisa Muth at Meritain Health, including work email, phone, and LinkedIn data when available.
Lisa Muth holds Ahima Approved Icd-10 Cm Pcs Trainer from Ahima.
Lisa Muth is listed with skills including Healthcare, Health Insurance, Medicare, Hospitals, Nursing, Policy, Physicians, and Healthcare Consulting.
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