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 --- Apply    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 Technical Project Manager - 140257 Create date: 13-Nov-2024 No of submissions: 1 Start Date: 11/27/2024 Submission Deadline: 11/18/2024 Client: Commonwealth of Massachusetts - Boston Note: * Candidate must be local * Candidate must be your W2 Employee Description: The Commonwealth of Massachusetts Executive Office.... 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(This job is for - job Jobs in MA Quincy Manager - (in Quincy, MA))    Project Management job openings in other states Jobs List Quality Assurance Analyst - 150831 Create date: 07-Nov-2025 Start date : 1/5/2026 End Date : 02/28/2026 – See notes in posting. Submission deadline : 11/13/2025 3:00:00 PM Client Info : MDEK12 – Mississippi Department of Education Note: * 100% Remote Description : This position will require a qualified Quality Assurance Analy.... (This job is for - Stakeholders Jobs in MS Jackson Analyst - (in Jackson, MS)) SAP Developer/Global Support Manager - 8670 Create date: 06-Nov-2025 Start date:11/26/2025 End Date :12 Months from projected start date Submission deadline : 11/13 @ 5:00 pm EST Client Info : STO Note: * Interview Process: 1 round, Virtual/Online * Work Location: Remote - resource can reside anywhere in the US * This position will be 10-20 ho.... 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(This job is for - PMP Jobs in VA Richmond Consultant - (in Richmond, VA)) Certified Project Manager III - 148718 Create date: 22-Sep-2025 Start Date :11/3/2025 End Date :06/30/2026 Submission Deadline :9/29/2025 at 4:00 PM CST. Client Info : DCF Note: * Onsite or remote: Candidates must be WI residents or willing to relocate to WI within 30 days of the start date. * This position is currently remote. H.... (This job is for - job Jobs in WI Madison Manager - (in Madison, WI))    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)

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