This position is the primary point of contact for Medical Management (MM) Medicare-Medicaid (MMP) Systems processes and Clinical Data reporting. He/she works directly with business units and external entities to ensure compliance and accuracy rates for EOHHS and CMS MM MMP data submissions. He/she will understand business operations, product and contractual requirements, business workflows, and a variety of systems and data repositories to support/monitor business operations to ensure that all resources are being used effectively; and actively participate in identifying current problems and future needs of the department. He/she must be self-directed and solution oriented. He/she will provide data analysis, analytical and systems support. He/she works collaboratively with Information Technology, Analysis, Product, Provider Engagement & Contracting, and other departments to assist in the development of requirement documents, business cases and business plans.
Neighborhood is an Affirmative Action and Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status or any other legally protected basis.
Neighborhood is committed to ensuring individuals with disabilities and/or those who have special needs participate in the workforce and are afforded equal opportunity to apply for jobs. If you would like to contact us regarding the accessibility of our Website or need assistance completing the application process, please contact us at email@example.com.
Neighborhood is an EOE M/F/D/V and an E-Verify Employer