Neil Hoosier & Associates, Inc.

Conduct clinical reviews of prior authorization and pre-payment requests for Fee-For-Service Medicare to ensure compliance with coverage and payment rules. Provide evidence-based clinical justifications for determinations and maintain organized documentation of assessments.

The Project Manager supports the Project Director in executing and delivering contract activities, managing daily program operations, and ensuring alignment across various workstreams. This role involves coordinating team activities, tracking milestones, and facilitating communication with stakeholders.

The Project Director is responsible for overall contract performance, providing strategic leadership and technical oversight for all project activities. This includes managing complex initiatives involving data integration, analytics, and technology modernization while ensuring alignment with project objectives and regulatory requirements.

NHA is looking to review qualifications for future job openings. Candidates are encouraged to upload their resumes and express their interests in specific roles.