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Guides and collaborates with Enrollment and Healthcare Services departments to direct CMS enrollment to quantify revenue and healthcare cost impacting and associated with enrollment submission and revenue sources. Ensures the accuracy of all transactions related to membership while meeting reporting requirement and providing timely, meaningful reporting of operations, and effectively plan for revenue optimization. Analyzes healthcare cost and utilization trends by provider group or by product line to gravitate regional general managers toward a better decision making process while giving senior management root cause analyses on profitability at provider group or product line level.

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