…medication. + Inputs all patients' information into VISTA/CPRS. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides

…1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review

…Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH Divisions, as well as payers

…applicable. + Write Care Plans in EPIC Healthy Planet for high-risk patients being care managed . + Other duties and/or projects as assigned. + Adheres to HMH

…to learn new software applications required. + Three years experience in a managed care environment preferred. + Experience with geriatric population preferred.

…in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and

…**Preferred Qualifications:** + Motivational interviewing skills + Call Center experience + Managed Care experience **Education** : High school diploma or GED

…Capacity to work closely with patients, physicians and their office staffs and managed care plans. Strong organizational and prioritization skills. Attention to

…the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors

…to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which