Data Processing Review Manager The DP Review Manager will be in direct communication with the Project Director and will provide technical assistance to the CMS PERM staff as necessary. The DP Review Manager will provide expertise or general claims support to teams in reviewing, researching, and investigating claims processing systems and processes. The DP Review Manager: will possess a combination of experience meeting the following criteria:

• A minimum of three (3) years of supervisory or managerial experience in medical claims or clinical data management;
• Preferably three (3) years working in Medicaid and/or CHIP at a state or national level with working with states' claims processing systems, including MMIS;
• Knowledge and working experience working the managed care claims and third- party liability;
• Knowledge of payment systems and coding, billing and compliance rules;
• Education and Certification: Holds a Bachelor's degree from an accredited university and in a field of study that can be reasonably interpreted to perform tasks related to this position.

This is a remote, work from home position. You may be located anywhere within the US.