Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Site Safety and Environmental Leadership 15% Ensures compliance of regulatory, plant safety, and environmental requirements with special emphasis on AIMS compliance within the Operations and Maintenance groups. Participates fully in plant safety initiatives and programs including Behavioral Based Safety (BBS) program. Ensures that all incidents are reported and appropriat