SME

Onsite: Jackson, MS

About the Job

• Duration: Long term Contract Position


• Location: Onsite: Jackson, MS


• Pay rate: Hourly


• Job ID: (phone number removed)

Overview:

Client Looking for Provide subject matter expertise related to program data, policies and operational workflows to support the Program Integrity (PI) tool used for detecting fraud, waste and abuse.:

Responsibilities:

• Data Domain Expertise

• • Medicaid Member Data (eligibility, enrollment, demographics, coverage)


• • Managed care enrollment and attribution


• • Member identifiers and cross-system matching

Provider Data

• • Provider enrollment and credentialing


• • Provider taxonomy and spe...