Gainwell Technologies LLC
Business Process Analysis SME (Medicaid Domain & C/Pro*C programming)
- Remote
- Contract
... Understand how BPA impacts claim adjudication. • Analyze: o Coverage determination o Provider eligibility validations o Provider contract validations o Reimbursement processing Rule Sheet Management • Review and validate BPA Rule Sheets. • Support BPA Rule Sheet release management process. • Review approvals and configuration promotions. ...
Bengaluru, भारत