Medical Management Vendor Relations Analyst

HMSA · Honolulu, HI

1. Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors:
   
   • Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation requirements.
     
     • Develops data templates and submission forms.
     • Maintains program documentation for auditing purposes.
   • Analyzes business issues, including but not limited to new services, contract deliverables, enhancements, etc.
   • Troubleshoots workflow issues as well as member/provider compl

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