- Healthfirst (MS)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- HealthEdge Software Inc (Jackson, MS)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- CHS Inc. (Jackson, MS)
- …including monthly tax return filings, notices/assessments, audits, refund claims , license applications/renewals, establishing internal control measures, and related ... responses to notices, assessments, internal and external audits and refund claims . Document findings and escalate operational and financial risks involved through… more