Hands-on experience supporting requirements gathering and process documentation related to D-SNP and Medicaid lines of business.
Experience with Utilization Management, Care Management, and Appeals and Grievance clinical platforms. ( is currently using Care Manager for Care Management and Utilization Management, OnBase for Appeals and Grievances, and migrating all to Guiding Care, experience with any of the 3 is required.)
Nice to have skills
Jira experience
Experience supporting a clinical platform migration related to Utilization Management, Care Management, and Appeals and Grievances.