Outreach and educate contracted practitioners to ensure compliance is met. Conduct regular Access to Care Surveys to ensure compliance with regulatory and health plan requirements. Outreach to practitioner network of practitioners who have not validated their demographics in order to meet regulatory requirements. Conduct audit to confirm current directory listing informat

Leading a portion of a growing DevSecOps engineering team. Develops project plans, specifying goals, strategies, resource allocation, and scheduling. Coordinates activities of DevSecOps engineers to ensure goal achievement within identified timeframes. Researches and evaluates technology and processes; makes recommendations to improve team performance, productivity, and s

Maintains existing and develops new mapping across a variety of file types, manages inbound file/data processing, develops new files/reports. Manages a range of EDI transactions including enrollment, benefits, claims, and financial transactions. Independently develops and reviews mapping and translations between data elements for file feeds. Leads the implementation of ED

Reconciles, resolves, and researches 2 step claims and payments to ASH. Receives and sorts incoming mail including paper EOBs, faxes, Interoffice Mail, and Health Plan letters. Downloads electronic EOBs from Health Plan Portals. Count and scan EOBs and Health plan letters for distribution and track counts into daily inventory. Manually reconciles claims for payment from H