Hi ,

Please let me know if you are interested or available to take this below
*contract* opportunity with one of my client. Please share your resume
at *[email protected]
<[email protected]>*  or reach me at *267 436 4545
<02674%20364%20545>.*



*Job Details:*

*Job Title: Sr.Data Coach*

*Location: Columbia, MD or Remote*

*Duration: 6+ months*



Reporting to the Client Services Lead the* Data Coach *is responsible for
supporting the client services team to meeting established goals and
objectives. The coach will make sure that tasks and milestones are achieved
on time and that deliverables meet or exceed QSSI quality standards and
client’s requirements and needs. The ideal candidate is an accomplished
subject matter expert who is passionate in making a real impact on
preserving the Medicare Trust Fund.  He/she should be a confident public
speaker with excellent written and oral presentation skills. The coach
should be able to explain, simplify and present complex and sometimes
technical functions to staff, users, management, and customer. The
candidate must be an innovative, analytical, thinker in order to develop
conceptual informatics solutions to scientific and social problems.

*Job Description *

·         Provide on-going healthcare fraud, waste and abuse data, tool and
analytics support for users when directed by the team and customer.

·         Support the help desk in responding to technical and data
questions that are received from end users.

·         Build and maintain positive, productive relationships with
colleagues, managers, partners, customer, and users to foster collaboration
and consensus.

·         Champion the needs of the users and provide recommendations for
improving the system capabilities and performance to enhance the value for
end users.

·         Identify and recommend policy, procedure, and system changes to
enhance investigative outcomes and performance.

·         Conduct data mining, analysis, and reporting using available
tools and data sources.

·         Prepare and present live and online subject matter topics to
team, customer and end users, and possibly at conferences and tradeshows.

·         Work closely with the team to draft and execute an effective end
user support and training strategy.

·         Assist in the creation and development of various training
materials, including trainer guides, training video or audio,
instructor/participant materials, interactive online courseware, and
evaluation systems.

·         Support local, offsite and online train-the trainer and end-user
training classes with subject matter expertise.

·         Interact frequently and professionally with the customer and
stakeholders in a variety of settings including meetings, teleconferences,
and written communications.

·         Identify areas for improvement and make recommendations to
increase the quality and effectiveness of support and training processes
and materials based on user feedback and industry best practices.

·         Stay abreast of industry trends to proactively identify
opportunities for fraud or emergent schemes.

·         Maintain and report on various project metrics as required.

*Required Skills & Experience*

·         Bachelor's degree in healthcare or business administration,
information technology, public health, or related fields.

·         Must have recent experience with Medicare and/or Medicaid Part A,
B, & DME claims, coding, and reimbursement procedures, service and coverage
policies, coordination of benefits, as well as provider and beneficiary
eligibility.

·         Demonstrated performance with high volume data analysis and
business intelligence tools such as BusinessObjects, SAS Enterprise Guide,
MicroStrategy, Cognos, etc…

·         Thorough understanding of claims and healthcare terminology and
codes as published by CPT, ICD, HCPCS, and DRG manuals.

·         Excellent analytical and problem-solving skills, with the ability
to integrate information from multiple sources to execute effectively and
efficiently in a dynamic environment.

·         Ability to meet time-sensitive and mission-critical deadlines
with minimal supervision

·         Able to translate, articulate, simplify and communicate complex
business and technical functions to audiences with different level of
expertise.

·         Superior communication and organization skills are a must with
ability to handle multiple tasks in a fast paced work environment and
thrive in an environment with regularly changing priorities.

·         Confident and results-driven self-starter skilled in taking
initiative, assessing requirements, coming up with plans, and taking the
lead in making plans reality.

*Desired Skills & Experience*

·         Past experience as a Zone Program Integrity Contractor (ZPIC),
Program Safeguard Contractor (PSC), Medicare Drug Integrity Contractor
(MEDIC), Medicare Administrative Contractor (MAC), or Recovery Audit
Contractor (RAC) is highly desirable.

·         Familiarity with the Centers of Medicare and Medicaid Services
(CMS) Integrated Data Repository (IDR), One Program Integrity (One PI),
Shared Systems, and/or Common Working File (CFW), and other fraud detection
and prevention solutions.

·         Certified Fraud Examiner (CFE) or Accredited Health Care Fraud
Investigator (AHFI) a plus.

·         Thorough understanding of Part D Prescription Drug Event (PDE)
and Part C encounter data

·         Experience with state Medicaid claims and systems such as
Medicaid Management Information System (MMIS) or Medicaid and Statistical
Information System (MSIS).

·         Nursing or clinical experience is desired.

·         Certified Professional Coder-CPC or CCS preferred.

·         Experience as a trainer in a classroom setting.

·         Experience with statistical data analysis techniques such as
modeling, aggregation, trending, patterns, random sampling, and ratios to
identify outliers.

*Travel *

<25%



*Please fill this basic detail format, If you are interested for the above
mentioned position and send me your Work Authorization along with any ID
Proof.*

*BASIC Details*



Full Name



SSN No(Last Four Digits)



Date of Birth



Nationality/VISA Status/Current validity



Current Location



Relocation



Available for F2F?Y/N



Contact Number



Passport No:



Email ID



Skype ID



LinkedIn ID



Interview Availability (Any 3 Time Slots)



Total IT Experience



Rates/ Salary:



*EDUCATIONAL DETAILS*



Name of Degree ,University and Year of Passing.



*References*



1.References

2.Reference

Name:

Name:

Number:

Number:

Email id:

Email id:

Designation:

Designation:


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