Project Manager
CurrentProject Manager responsible for managing project activities related to provider data, reporting, reimbursement, new client implementations along with other projects related to the department.• Oversee the Medicare and Medicaid network adequacy reporting process, this includes keeping appraised of regulatory changes to ensuring compliance and timely filing submission. This requires close working relationship with the client and the staff that creates the regulatory submission files.• Create and manage end-to-end claim system modification requests; this includes researching and analyzing data requirements, writing work orders, UAT testing, and implementing the modifications once installed into the production environment.• Responsible for keeping appraised of government regulatory requirements as it relates provider data management and reimbursement, this includes monitoring both state and federal websites for reimbursement updates.• Subject Matter Expert (SME) on all provider reimbursement methodologies, this includes both professional and institutional pricing models for both Medicare and Medicaid.