In-depth knowledge of Medicare reimbursement methodologies, i. e. Resource Based Relative Value System (RBRVS) 3 years of experience negotiating rates with providers. Intermediate or higher level of proficiency in MS Excel.
Acting as performance manager for a team of technical resources. Performing daily health checks of platform to ensure service is operating at optimum levels. Participating in application architecture and design review. Must meet the following requirements for consideration:
Experience with workforce modeling, production methods and coordination of people and resources. Knowledge of complex relational databases, mathematical modeling, and statistical software. Experience with simulation modeling.
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS) 3 years of experience in fee schedule development using actuarial models. 3 years of experience using financial models and analysis to negotiate rates with providers.
Bachelor's degree in related field (human-computer interaction, business information technology, computer science technology, information systems, technical communications, engineering, or cognitive science) Experience with API interface testing tools (Postman, Paw, etc)
Monitoring and measuring resource consumption (CPU, Memory et al) Incorporating all data into a comprehensive capacity forecast. Skills and Requirements Include: SAS (WPS) programming skills required. Bachelor's degree or the equivalent combination of education, training, or work experience.