Home       |     Overview      |     Candidate Login      |     Post Resume       |     Contact us
 
  
     
     
Search Jobs
     
Keywords,Title,Skills,Company  Location,City,State,Zip  
  Advanced Search
     
MS Excel MS Outlook MS Powerpoint Cognos Hipaa Consultant
(Jobs in Quincy, MA)
 
Requirement id 10294
Job title Consultant
Job location in Quincy, MA
Skills required Project Management, Report Writing, MS Access, MS Excel MS Outlook MS Powerpoint Cognos
Open Date 15-Jun-2012
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Consultant: Project Management, Report Writing, MS Access, MS Excel MS Outlook MS Powerpoint Cognos

[**Note : Wednesday, June 27, 2012**]

[Note : Contract Length: Through 6/30/13
Project(s) Duration: possibly another 6 months]

Description :

Detailed statement of duties and Responsibilities:

Initiates, coordinates, and oversees projects and analyses related to MassHealths Acute Hospital Program. Leads maintenance of MMIS System updates for Acute Hospital Program provider types including but not limited to:

a) HCPCS\CPT Updates and Deletions.

b) Coordinate provider rate updates and all associated activities.

c) Produce TLs for Policy and Program updates

d) Subchapter 6 maintenance (anti-Subchapter 6).

e) Coordinate with Physician Program and Systems group to assure most current codes are correctly loaded into MMIS.

f) Detailed involvement in grouper development and coordination with 3M

g) Coordinate and manage escalated provider issues related to payment, including all MMIS activity to achieve resolution.

Reviews and updates acute hospital regulations, provider manuals, bulletins and billing instructions. Coordinate with Legal, Publications Department and others to assure timely submission of materials as required.

Reviews and updates Procedure codes, HCPCS/CPT and revenue codes. Coordinates 3M grouper updates and coordinates updates with OCA, IT, and with other programs as necessary.

Analyze claims data and reports and other information prepared by internal and external parties, make recommendations for improvements to policies or processes and implement changes as required.

Monitor and evaluate the hospital program with respect to hospital billing procedures and instruction. Develop, recommend, and implement standards by which to monitor and evaluate hospital program activities, acute hospital utilization, spending, quality and other measures.

Review and make recommendations related to annual RFA contract. Revise manuals to meet current regulation and RFA requirements. Recommend updates to Regulations as necessary. Work with management and Legal as required to implement changes.

Represent MassHealth and the Acute Hospital Program on internal and external committees or workgroups related to hospital services, policies and billing. Schedule meetings with appropriate providers, acute hospital program and other EOHHS staff, as necessary, to resolve issues.

Responds to requests from providers and others regarding Hospital program activities, billing issues, and other related matters. in coordination with Legal, Program Integrity, Claims Operations, Customer Service Team (CST), hospitals, provider enrollment, IT, and others as required to resolve hospital billing issues.

Performs other duties as required.

Qualifications Required at Hire:

· Excellent analytic, interpersonal, project management, organization, negotiation, problem solving and leadership skills.

· Ability to prepare well-written reports, clearly deliver presentations and effectively lead meetings

· Ability to gain cooperation and coordinate the efforts of others in accomplishing assigned work objectives.

· Ability to communicate effectively, both orally and in writing. Ability to write concisely, to express thoughts clearly and develop ideas in a logical sequence.

· Knowledge of the principles and practices of hospital reimbursement and quality management.

· Proficiency in Excel, Access, PowerPoint, Cognos and Microsoft Outlook, computer applications and data analysis.

· Knowledge of mathematical and statistical methods of analysis and the methods used in the preparation of charts graphs and tables

· Ability to analyze and determine the applicability of data, to draw conclusions and make appropriate recommendations.

· Ability to commu
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 10294 while calling.
 
Other jobs in MA: Boston (103), Burlington (1), Cambridge (1), Canton (3), Chelsea (9), Franklin (1), Lexington (2), Malden (10), Marlborough (2), Maynard (2), Newton (1), Quincy (6), Sharon (1), Waltham (1), Welesley (1), Wellesley (6), Westborough (1), Westbourough (1),
Project Management job openings in Quincy, MA
Jobs List

Sr Business Analyst - 57985
Create date: 06-Apr-2021
On-site/Remote:
On-site

Job industry:
Public Sector and Government

Description:

Responsibilities

Our Client in Quincy, Massachusetts is seeking a Sr. Business Analyst - Implementation Manager for a contract role

Remote start - then onsite in Quincy, Massachusetts

Mu.... (This job is for - job Jobs in MA Quincy Analyst - (in Quincy, MA))

ITS63 EHS FY21 Project Manager 003-OPS Rollout -SP
Create date: 19-Aug-2020
Note: Submission

Submission Deadline: 8/28/2020
Start Date: 9/8/2020
End Date: 6/30/2021

Client: EHS

Description:

We are looking for a Project Manager for Desktop & Technology Modernization. The Project Manager will work with coordinate EHS-IT cross functional teams, EHS agencies, EOTSS & Vend.... (This job is for - job Jobs in MA Quincy Manager - (in Quincy, MA))

ITS63 DOT Call Center -Senior Business Analyst 002 -SP
Create date: 01-Jul-2019
Bid Number: BD-20-1030-0P100-0P110-41520
Note: Online Submission

Note: RTR form must be signed by the candidate.

Note: Total number of positions sought: 1
Note: Maximum number of resumes per ITS63 Vendor: 2

Submission Deadline: 7/11/2019 04:00:00 PM EST
Start Date: 7/22/2019
End Date: 1/21/2020 .... (This job is for - job Jobs in MA Quincy Analyst - (in Quincy, MA))

ITS63 EHS FY19 Senior IT Project Manager 009 -MRC -SP
Create date: 13-Mar-2019
Note: RTR form must be signed by the candidate.
Note: Maximum number of resumes per ITS63 Vendor:2

Submission Deadline: 3/21/2019
Start Date: 4/1/2019
End Date: 6/30/2019

Client: Executive Office of Health and Human Services (EOHHS)

Description:

The Executive Office of Health and Human Serv.... (This job is for - job Jobs in MA Quincy Manager - (in Quincy, MA))

ITS63 EHS FY19 DW EA - Project Manager 007 - SP
Create date: 22-Feb-2019
Note: RTR must be signed by candidate.
Maximum number of resumes per ITS63 Vendor: 2

Submission Deadline: 3/1/2019
Start Date: 3/11/2019
End Date: 3/10/2020

Client: Executive Office of Health and Human Services (EOHHS)

Description:

The Executive Office of Health and Human Services (EOHHS) s.... (This job is for - job Jobs in MA Quincy Manager - (in Quincy, MA))
 
 Project Management job openings in other states
Jobs List

Project Manager III - 136659
Create date: 25-Oct-2024
No of Submissions : 1

Start date : 11/18/2024

End Date : 06/30/2025

Submission deadline : 11/1/2024 4:00:00 PM

Client Info : DPI

Note:

* Interview Process: Via Teams

* Duration: Till June 30, 2025, with possibility of extension

* Onsite or Remote: Candidat.... (This job is for - job Jobs in WI Madison Manager - (in Madison, WI))

NCDOR - Project Manager/Coordinator - Mid Level (747881)
Create date: 24-Sep-2024
Remote

No of Submissions : 2

start date :10/07/2024

End date :02/11/2025

submission deadline : 09/26/2024

client info : NCDOR

Note:

* Agency Interview Type: Either Webcam Interview or In Person

* This is an URGENT, vacant position. Im opening the position for .... (This job is for - job Jobs in NC Raleigh Manager - (in Raleigh, NC))

PROJECT MANAGER - 11392-1
Create date: 19-Sep-2024
No of Submissions : 2

Start date : OCTOBER 22, 2025

Submission deadline : 9/26/2024

Client Info : Department of Health and Human Services

Note:

Q) INTERVIEW PROCESS (phone, video or in-person, how many rounds of i/vs, etc.)

A) Video for initial interview. In-person or video may be u.... (This job is for - job Jobs in SC Columbia Manager - (in Columbia, SC))

24-448DOIT-ADMIN-B-42566 DTES Sustainment RFP - NSPO
Create date: 18-Sep-2024
Bid URL: https://www.bidbuy.illinois.gov/bso/external/bidDetail.sdo?bidId=24-448DOIT-ADMIN-B-42566&parentUrl=activeBids

Note: Online Submission

Submission Deadline: 10/30/2024 10:00 AM
Start Date: 11/11/2024
End Date: 11/11/2025

Client: DoIT - Department of Innovation and Technology

Description:.... (This job is for - Validation Jobs in IL Springfield Consultant - (in Springfield, IL))

Project Manager -63384
Create date: 18-Sep-2024
* Bill Rate: USD 90.00 Per Hour

* Max Rate: USD 103.75 Per Hour

No of Submissions : 3

start date : 11/15/2024

End date :08/15/2025

submission deadline : 09/21/2024

client info : CT DAS

Note:

* Position Location: On Site

* Candidate Must Be Lo.... (This job is for - Team Work Jobs in CT RockyHill Manager - (in Rocky Hill, CT))
 
 Project Management job openings in MA
Jobs List

ITS63 DOT Senior Business Analyst 001 -SP
Create date: 07-May-2021
Bid Number: BD-21-1030-0P100-0P110-62343
Note: RTR form must be submitted

Note: Online Submission
hourly rate: $79 to $90

Submission Deadline: 5/13/2021 04:00 PM EST
Start Date: 5/24/2021
End Date: 11/23/2021

Client: Department of Transportation

Description:

The Business An.... (This job is for - SDLC Analytical Skills Jobs in MA Boston Analyst - (in Boston, MA))

ITS63 OSD21-0052 Senior Business Analyst WMP II -SP
Create date: 03-May-2021
Bid URL: https://app.fairmarkit.com/bid/172c44e1-6bf4-403b-9577-640a52527653?source=mail

Note: Online Submission

Submission Deadline: 5/14/2021 12:00 PM EST
Start Date: 5/17/2021
End Date: 12/31/2021

Client: MBTA

Description:

Detailed Description of Services:
The Senior Business .... (This job is for - job Jobs in MA Boston Analyst - (in Boston, MA))

ITS63 OSD21-0051 Business Analyst Leve III WMP I -SP
Create date: 03-May-2021
Bid URL: https://app.fairmarkit.com/bid/28212dee-19d0-4814-a79d-2b527552b229?source=mail

Note: Online Submission
Note: RTR form must be submitted

Submission Deadline: 5/14/2021 12:00 PM EST
Start Date: 5/17/2021
End Date: 12/31/2021

Client: MBTA

Description:

The Business Analyst .... (This job is for - job Jobs in MA Boston Analyst - (in Boston, MA))

VRM/Admin Fee Project Manager
Create date: 31-Mar-2021
Description:

Our Client in Boston, Massachusetts is seeking an experienced VRM/Admin Fee Project Manager

Summary of the project:

Statewide contract vendors are required to enter quarterly reports, for both the sales completed during a quarter and the administrative fee owed because of those sales. Currently an autom.... (This job is for - Jira Jobs in MA Boston Manager - (in Boston, MA))

Sr. BA- Salesforce - 62843
Create date: 01-May-2020
Candidate must be our W2 Employee.

Candidate must be local : Yes

We should submit only GC,GC - EAD, L2-EAD,H4-EAD and Citizens.

Note : This is a 12+ month-to-hire position and the pay rate is flexible depending on experience.

Job Description :

It combines with parent company On Assignment to m.... (This job is for - Business AnalystSalesForce Jobs in MA Waltham Consultant - (in Waltham, MA))
(Consultant: Project Management, Report Writing, MS Access, MS Excel MS Outlook MS Powerpoint Cognos in Quincy, MA)
     
Search Jobs
     
Keywords,Title,Skills,Company  Location,City,State,Zip  
  Advanced Search
     

    About Us     Services    Privacy policy    Legal     Contact us