Advert description
I have an Honors Degree in Law as well as a bachelors degree in Finance.
I currently develop new teams to undertake their roles by training and tutoring to fulfil the following functions:
Staff Training and Development
•Develop and prepare teams to undertake new roles for new lines of business in the Payment
Integrity/ Government Operations Appeals & Grievances business areas
•Assist in curriculum build to support MnR, Medicaid and E&I operations across multiple platforms, Cosmos, NICE & CSP Facets
•Ensure Payment Policies are researched thoroughly and applied correctly for claim denials across all platforms and lines of business when investigating overpayment appeals and claim denial appeals
•Ensure legal and regulatory requirements are followed and met in line with CMS and federal policies within
Project Management
• Planning, organizing, tracking, tasking, and directing project initiatives from the IST team
•Engage with multiple stakeholders across the business to source skills and assets to work with the project teams
•Reporting out weekly project progress to Senior Leadership
•Quarterly reporting on project success metrics, adoption rates and usage statistics
•Develop remedial action plans to address project shortfalls