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microsoft office edi data quality regulatory reporting medicare📋 Description
- Supervises team reviewing, preparing, and submitting regulatory data reports across jurisdictions
- Ensures reporting activities are accurate, timely, and within deadlines
- Oversees review and resolution of errors and data discrepancies with internal teams
- Develops and maintains documentation for procedures, workflows, and data quality
- Serves as SME for regulatory reporting requirements and complex scenarios
- Leads cross-functional collaboration with Claims, IT, and Compliance
🎯 Requirements
- Education/Experience: Bachelor's degree or equivalent in business, statistics, or related field
- Critical Thinking: Ability to think critically and adapt quickly in dynamic environment
- Math & Reasoning: Ability to apply reasoning to problems with several variables
- Language Ability: Read/interpret statutes and report data clearly
- Computer Skills: Proficient in MS Office and proprietary software
- Technical Knowledge: Medicare reporting and EDI/IABAIC standards
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