Healthcare Project Manager - State Medicaid Policy SME - Remote

at HMS
Location FL
Date Posted September 14, 2020
Category Provider Relations
Job Type Full-time

Description

Utilize data analysis techniques to detect aberrancies in Medicare and Medicaid claims data, and proactively seek out and develop leads received from a variety of sources (e.g., CMS, OIG, State Program Integrity, MFCU, fraud alerts). Bachelor’s degree in nursing, social or health service, informatics, or business related field preferred. Certified Fraud Examiner (CFE), or Accredited Healthcare...

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