- TEKsystems (Lincoln, NE)
- …experienced Transition Lead to oversee the successful transition of a Medicaid data warehouse and encounter claim processing solution from vendor ... governance. Transition Management + Lead the transition of the Medicaid data warehouse and encounter claim processing to a state-managed model. + Develop… more
- COOLSOFT (Lincoln, NE)
- …: NeDHHS Note: * Candidates can work remotely. Description : The Medicaid Data Warehouse and Encounter Claim Processing Transition Lead will be ... responsible for leading the successful transition of the states Medicaid data warehouse and encounter processing solution to a state-run and managed… more
- CenterLight Health System (NY)
- …knowledge of HCC and ICD-10. + Review, validate, and reconcile claim and encounter data submissions for completeness, timeliness, and compliance. + Analyze ... in encounter rejections and denials; develop improvement plans. + Maintain encounter data submission workflows and documentation to support audits. + Develop… more
- New York State Civil Service (Albany, NY)
- …responsible for developing SQL algorithms to find fraud, waste, and abuse in the NYS Medicaid Data Warehouse , and potentially use other large datasets to ... employee gain an extensive knowledge of NYS Medicaid claims data , as well as knowledge of NYS encounter data submitted by the plans, and the systems used… more