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Summary Description Support Claims and Encounters business unit as the subject matter expert interfacing with all other business units to ensure processes align and complies with state regulation and mandates. Analyze regulations and contracts to document provider billing manual, Business Requirement Document, Report Document and training material. Key Tasks and Responsibilities • Manage Claims & Encounters team • Oversee Encounters projects • Test planning • Develop and implement process improvement strategies • Daily priority planning • Assign and oversee daily staff assignment • Oversee team standards and processes • Develop staff scorecard and productivity • Recruit and retain team resources • Team coaching • Handle escalated provider inquiries and disputes to claims payment • Support monthly and adhoc reporting • Claims and Encounters inventory management and reconciliation Education & Training • Required: High...