Client Service Analyst - PPM

Job description

Overview The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities. The CSA must be familiar with the day-to-day activities of the Medical Policy Director (MPD) and client-facing Medical Directors. Responsibilities: This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. - Supports Medical Policy Directors (MPD) through various aspects of the New Policy processes: - Marks policies provided by the MPD to ready to present in CPW , Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO), Tableau and/or BI and Presentation Manager (PM) reports for . - Ensures policies selected for presentation include all appropriate claim types and LOB - Ensures there are no conflicts with mutually exclusive decision points. - Submits a request to Medicaid Research for con...