Operations Research Manager
Beacon Health Solutions, LLC seeks Operations Research Manager in Tampa, FL. Manage Health Systems depart. focusing on Medicare Revenue Management & HEDIS processes. Conduct research methodologies, metric reporting & provide data analysis related to Medicare/Medicaid revenue management operations. Analyze CMS data submissions for Encounter data processing system & Risk adjustment processing system. Provide leadership to risk assessment team. Develop standardized workflow processes utilizing six sigma methodologies. Spearhead development & implementation of risk adjustment services. Manage planning, analysis, development, reporting, submission of HEDIS & other mandatory reports to regulators or accreditors. Requires MBA in Health Care Management or closely related field and 1 year experience with HEDIS & MRA.