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Technical Program Manager, Medical Management, Senior

Role overview

Qualifications

  • Technical Program Management in Medical Management
  • ZeOmega Payer Management Solution
  • Experience with CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)
  • Experience with SmartOFF Gateway API

Responsibilities

  • Implementation
  • Integration
  • Testing

Key facts

Other skills

  • Program Management

About the company

Quantix, Inc. logo

Quantix, Inc.

Quantix is an IT workforce management services provider that prioritizes people and purpose for growth. Pioneering the road map for changing the culture in the IT services industry. Quantix believes in unleashing the power of human potential, embracing diversity, and helping people and organizations thrive in reshaping our economy and the world. Quantix is on a mission to set a new standard for business to create a more inclusive reality for individuals and teams by supporting organizations that create the type of workplace where people feel motivated to contribute in a way that fuels bottom-line growth. Since 2002 we've been providing contract, contract-to-hire and direct hire services to a wide range of clients. We provide individual consultants, project management, project teams and executive management placements.

Company details

Company size51 - 200

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Job description

Title: Technical Program Manager, Medical Management, Senior
Location: 100% Remote
Time Zone: EST hours with flexibility required
Type: Contract-to-hire
Duration: 6 months
Start: ASAP

Responsibilities and required experience:
  • Technical Program Management in Medical Management
    • Implementation
    • Integration
    • Testing
  • ZeOmega Payer Management Solution
    • CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)
    • SmartOFF Gateway API (it is the front door to the Jiva Medical Management platform. The gateway validates, routes, and orchestrates the request before it reaches Jiva. It is designed to meet CMS-0057 interoperability requirements.)
    • Jiva Healthcare Enterprise Management Platform
    • National Clinical Guidelines authorization rules (feeding them provider data)
Plus experience:
  • Healthcare Workers' Comp (managing customer care)
  • Payer Benefits
  • Automation creation

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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