Ensures adequate support for the client-facing team on coding and policy as well as operational related activities.
Supports Medical Policy Directors (MPD) through various aspects of the New Policy processes.
Marks policies provided by the MPD to ready to present in CPW.
Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO), Tableau and/or BI and Presentation Manager (PM) reports.
Ensures policies selected for presentation include all appropriate claim types and LOB.
Submits a request to Medicaid Research for conflict review when appropriate.
Assists in formatting New Policy Presentation documents for client presentation.
Performs multi-faceted data and report analytics.
Analyzes the report output and provides accurate client or policy information based on thorough report analytics.
Generates, modifies, and formats Web Intelligence (Webi) reports for ad hoc purposes.
Requirements
B.S., B.A, in business or healthcare related field, or equivalent experience preferred.