Client Solutions Manager

A company is looking for a Client Solutions Manager specializing in Care Management and Utilization Management. Key Responsibilities Develop business requirements and documentation by collaborating with clients to understand their needs Perform validation tests and coordinate User Acceptance Testing (UAT) with clients and team members Collaborate with cross-functional teams to implement client projects and provide ongoing training and support Required Qualifications 8+ years of expertise in Care Management and Utilization Management within a Payer or Payvider Operational experience in Care Management and Utilization Management in Medicare or Medicaid plans Strong knowledge of US healthcare data, including Medical Claims and Clinical data Understanding of CMS 0057 ePA ruling and its impact on payer operations Experience with industry-standard UM/CM software and familiarity with EMR/EHR data

Mar 21, 2025 - 15:55

A company is looking for a Client Solutions Manager specializing in Care Management and Utilization Management. Key Responsibilities Develop business requirements and documentation by collaborating with clients to understand their needs Perform validation tests and coordinate User Acceptance Testing (UAT) with clients and team members Collaborate with cross-functional teams to implement client projects and provide ongoing training and support Required Qualifications 8+ years of expertise in Care Management and Utilization Management within a Payer or Payvider Operational experience in Care Management and Utilization Management in Medicare or Medicaid plans Strong knowledge of US healthcare data, including Medical Claims and Clinical data Understanding of CMS 0057 ePA ruling and its impact on payer operations Experience with industry-standard UM/CM software and familiarity with EMR/EHR data