Jose Ojeda
Manager of Healthcare Consulting and Health Plans and Providers Payment Integrity and Reimbursement
Since 2019, Jose Ojeda has been working in Hch Enterprises situated 651, 651. Jose Ojeda is a well-qualified Manager of Healthcare Consulting and Health Plans and Providers Payment Integrity and Reimbursement with over seven years of work experience. According to Jose's resume and work profile, Jose has worked at more than ten places with numerous backgrounds and got various skills. Jose attended school at the Brandeis University from 2016 to 2019. Jose can be found in Chelsea, Massachusetts – where this person is currently located. You can search for this expert's e-mail and phone. We can also provide you detailed contact information upon request.
Name variants:
Jose Ojeda
Last updated May 28, 2024
Contact Information
Last Update
Jul 10, 2022
Email
jo**@gmail.com, jo**@mass.gov
Location
Chelsea, MA
Company
Workplace
Manager of Healthcare Consulting and Health Plans and Providers Payment Integrity and Reimbursement
Chepachet, RI
Industry
Information Technology and Services
Colleagues
Work History
Manager of Healthcare Consulting and Health Plans and Providers Payment Integrity and Reimbursement
570 Broad St, Perryville, MD 21903
from Jan 2019
Claims Payment Integrity and Quality Control Manager
910 Douglas Pike, Smithfield, RI 02917
Responsible implementing payment integrity solutions focused on improving claim payment accuracy and reducing overall medical spend NHPRI. In this position, I manage vendor partners with ext...
Dec 2016 — Aug 2018
Program Manager, Reimbursement and Payment Integrity
My job is provide the vision and oversight for accurate and compliant charge capture and oversee all Commonwealth Care Alliance reimbursement and payment integrity cycle . During this positi...
Jul 2015 — Nov 2016
Director Assistant, Fraud Investigations and Business Analytics
24 Beacon St, Boston, MA 02467
Leading work groups with business partners across the organization to develop FWA cases, algorithms, or other solutions to detect, evaluate, and prevent FWA and presenting findings to senior...
Jan 2015 — May 2015
Managing Consultant and Fraud Waste and Abuse Practice
14504 Greenview Dr SUITE 102, Laurel, MD 20708
I work analyzing medical, pharmacy, dental and all provider claims to focus understanding the patterns of fraud, where to find it, how to detect it and deciding when to act are key to combat...
Sep 2013 — Dec 2014
Healthcare Auditor Consultant
101 Huntington Ave, Boston, MA 02199
At Blue Cross Blue Shield of Massachusetts, we work hard to make sure that our nearly three million members have access to the high-quality, affordable health care they expect and deserve. F...
Jan 2013 — Oct 2013
Principal Consultant
Medicare and Medicaid Fraud Waste and Abuse Principal Consultant. Using a new platform to analyze Social Network Analysis(SNA) that helps institutions and Government todetect and prevent fra...
May 2012 — Nov 2012
Senior Contracts Management Business Systems
Salem, MA
Collaborate in many hospital finance areas Also, support new process and system implementation, ensuring a successful go-live, as well as development of and participate in new operating supp...
Jan 2012 — Apr 2012
Budget Director Health Care Division
Barquin International is a full-service information technology consulting firm focused on supporting U.S. Federal Government agencies and their partners. For nearly twenty years, this small ...
Aug 2009 — Apr 2010
Education
2016 — 2019
2002 — 2003
1983 — 1992
Occupations
Executive
Manager
Health Specialist
Hospital Care Professional
Director of Quality Control
Sales Specialist
Supplier
IT Professional
Data Analyst
Operations Manager
Health Professional
Health Practitioner
Compliance Manager
Services Professional
Sales Representative
Data Entry Specialist
Data Scientist
Skills
Analysis
Healthcare
Management
Process Improvement
Program Management
Quality Assurance
Business Process Improvement
Data Analysis
Medicaid
Business Analysis
Medicare
Analytics
Finance
Consulting
Business Intelligence
Budgets
Auditing
Government
Budgeting
Analytical Skills