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Medicaid / CHIP Data Processing Assistant Review Manager
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- Serco is seeking a motivated Data Processing Assistant Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS’ implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children’s Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA).
- As part of this effort, Serco would execute the PERM review contract which includes collection of state eligibility policies and medical records; eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and supporting state and national reporting and development of corrective actions based on findings.
- The Data Processing Assistant Review Manager position would be responsible to provide expertise and general claims support to teams in overseeing, reviewing, researching, and investigating claims processing systems and processes.
- Hybrid or full-time remote work.
- Provide expertise or general claims support to teams in reviewing, researching, and investigating claims processing systems and processes to ensure quality claims data review to meet requirements of the PERM program.
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