Program Manager

• Execute responsibility for the identification of reimbursement policy opportunities, policy maintenance, and project work associated with the policies
• Detailed research for the competitor landscape to identify current industry trends, and creation of code edit strategies to align with reimbursement policies
• Manage the policy maintenance for evaluation of industry changes, code additions, revisions, and/or deletions associated with reimbursement policy and code edits
• Execute the ability to review data analytics to identify and validate reimbursement policy opportunities
• Maintain and document clear coding logic and data requirements for matrix partners
• Author and maintain reimbursement policy language, coding, and templates
• Present reimbursement policy summary for applicable governance
• Become the subject matter expert (SME) on existing and development of new reimbursement policy
• Execute clear communication, be collaborative, while working effectively and efficiently with other matrix partners

Program Management Advisor, Reimbursement Policy – Coding Certification Required

Program Manager, New England

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Physician Program Director

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Program Manager