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About the Role
SME
Onsite: Jackson, MS
About the Job
Overview:
Client Looking for Provide subject matter expertise related to program data, policies and operational workflows to support the Program Integrity (PI) tool used for detecting fraud, waste and abuse.:
Responsibilities:
Provider Data
Onsite: Jackson, MS
About the Job
- Duration: Long term Contract Position
- Location: Onsite: Jackson, MS
- Pay rate: Hourly
- Job ID: (phone number removed)
Overview:
Client Looking for Provide subject matter expertise related to program data, policies and operational workflows to support the Program Integrity (PI) tool used for detecting fraud, waste and abuse.:
Responsibilities:
- Data Domain Expertise
- • Medicaid Member Data (eligibility, enrollment, demographics, coverage)
- • Managed care enrollment and attribution
- • Member identifiers and cross-system matching
Provider Data
- • Provider enrollment and credentialing
- • Provider taxonomy and spe...
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