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James MHA

Director of Medicare Claims Operations @ Virginia Premier Health Plan, Inc.

James MHA Contact Details

Richmond, Virginia Area
Director of Medicare Claims Operations @ Virginia Premier Health Plan, Inc.
AVP Claims Operations @ Beacon Health Strategies
Director of Medicaid Claims @ TMG Health
Bachelor of Science @

Highly competent leader, with extensive experience in Managed Health Care Claims Administration and Operations with leading national companies. Expertise in the configuration of DOFR’s (Division of Financial Responsibilities), Fee Schedules, and PDCRM’s (Provider Diagnosis Code Relational Matrix) database warehouse management AS400, in Monument, HBOC, Trizetto, EZCAP DOS and Windows, MedMC/CPU, Facets, RIMS, QSI, Diamond and other various 

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