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Principal Consultant – Medicare and Medicaid

Company

Oracle

Location

United States, United States

Type

Regular Employee

The Principal Consultant for the State Consulting Organization is responsible for the following:

Federal Reporting

  • Understand Medicare data, data design, and relationships pertaining to the member, provider, and claim
  • Create novel and standard insightful and actionable analytic designs for Medicare and Medicaid solutions
  • Partner with data scientists on predictive and engagement models for financial evaluations and fraud vulnerabilities
  • Communicate with internal and client leadership on findings and material design elements
  • Create level-of-estimates (LOE) for assigned work
  • Understanding federal reporting requirements for state CMS reporting, focusing on CMS-64, CMS-21, and CMS-37
  • Working with the architecture and development teams through active communication of requirements, risks, and delivery timeline

    • Technical Writing

  • Communicating to known and future clients the requirements and sub...

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