Understand both the service delivery system for programs which are administered by states and monitored by federal regulators.
April 20, 2023
Manage end-to-end Risk and Quality Client Programs, such as Healthcare Patient Assessment Form on ensuring correct delivery of data/forms to the correct providers, and the return of the data to coding ops, ensuring accurate payments are occurring for each provider based on client contract.
January 18, 2023
Prepare the client for implementation (planning, tools, communications, training and measurement).
February 21, 2023
Provide competitive pricing data and bundling arrangements in order to establish negotiated pricing contracts for assigned products.
February 22, 2023
Leads the selection of evaluation/analytics/BI methodologies and communicate recommendations to facilitate problem solving, solution development, decision making and strategic planning.
March 05, 2023
Acts as an informed team member providing analysis of information and limited project direction input.
April 13, 2023
Demonstrated understanding of healthcare economics and operations including benefit design, pricing and underwriting, utilization and cost management, clinical outcomes, payment systems and provider networks.
April 15, 2023
Participate in the practice development process by assisting in the development of tools, methodologies and techniques used by WMP in on client assignments.
April 26, 2023