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Pacific LifeDigital Asset Management Analyst
Digital Asset Management Analyst role managing and publishing digital assets at Pacific Life. Collaborating within a team to enhance marketing technology platforms.
About the role
- Maintain and update the GE/Centricity/IDX Managed Care Application (MCA) module for US Family Health Plan's managed care line of business
- Build fee schedules, provider and vendor dictionary entries, and plan benefits and exclusions
- Assist with health plan utilization management reporting for the organization
- Ensure optimal payment methodology for payments from US Family Health Plan to vendors and other providers
- Responsible for all reports and data transfers to the Department of Defense and its contractors
- Provide support for the quality management program
Requirements
- Bachelor’s Degree in related field or Equivalent experience in Health Care Business Administration as required by URAC
- Minimum of four years’ experience in managed care operations or large group practice setting
- Microsoft SQL Server experience
- Must have knowledge of and experience in coding with both CPT and ICD-9 and ICD-10
- Must possess an understanding of financial/administration/clinical business functions and the interfaces/relationships between applications in healthcare
- Experience with Access and reporting from a warehouse type database (preferred)
- Experience with HEDIS reporting (preferred)
- Experience with GE/Centricity/IDX healthcare software application (preferred)
- Clinic setting operations experience (highly desirable)
Benefits
- Best-in-class benefits
- Retirement 401(k) Savings Plan with employer matching
- Health care benefits (medical, dental, vision)
- Life insurance and disability insurance
- Time off benefits (paid parental leave, vacations, holidays, sick leave)
- Voluntary benefits and well-being resources
- Potential additional compensation: shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
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