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Managed Care Encounter Data and Claims Manager Ohio
Columbus, OH

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Direct Hire

$1 - $1 / yr

Managed Care Encounter Data and Claims Manager


  • Accurate reporting of Encounter data to the State
  • Provider claims processing
  • Develop and implement systems to ensure accuracy and timely reporting
  • Work collaboratively with all internal operations and sales and marketing teams to ensure: contract adherence and customer satisfaction
  • Educate and train Providers on billing guidelines and contract adherence
  • Hybrid WFR. Reside Ohio


  • Must be an Ohio resident
  • 4 years of experience with a health plan
  • Encounter data reporting experience in a managed care organization
  • Claims processing in a health plan
  • Proven negotiating and problem solving
  • Experience working with Providers
  • Managed Medicaid experience




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