James Nofziger Email & Phone Number
QI Specialist @ WellCare Health Plans
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James Nofziger Location
- Rochester, NY, US
James Nofziger Work
- QI Specialist @ (February 2012 - Present)
- Senior Information Analyst @ University of Rochester Medical Center (February 2010 - July 2011)
- Healthcare Analyst III @ Excellus Inc (January 1995 - November 2005)
- Healthcare Analyst II @ Excellus Inc (January 1988 - January 1995)
- Programmer Analyst @ Drexel Burnham Lambert Inc (January 1986 - January 1988)
James Nofziger Education
- Rochester Institute of Technology
School (Computer Science and Technology)
1986 - Western Michigan University
Master of Arts (Applied Behavior Analysis)
1978 - Columbia University
Bachelor of Arts (Psychology)
1976
James Nofziger Skills
- CMS & AMA coding systems and requirements; CPT, ICD-9, DRG and NDC coding
- CMS 1500, UB92, 5010, NPI, PUF file formats
- CMS Audit MRR , P4P QI CHPV, HEDIS QARR MR Retrieval, Inovalon SOAP
- Cost control programs: Pay for Performance, Quality Management, Utilization Mgt
- Dedicated to supporting vendors and associates accomplish enterprise goals
- Effective implementation of chart abstraction for health plan performance measur
- Experienced analyst of health care metrics and outcome systems
- Experienced health plan claims system subject matter expert
- Fellow Academy of Healthcare Management, Medical Management Certificate
- Health Insurance Portability and Accountability Act (HIPAA)
- Human Subjects Protection and Ethical Principles in Research Program Certificate
- Membership & billing, Financial Processing & Disbursement, Provider Credential
- NYS Health Insurance Counseling and Assistance Program Certification
- Technical specifications for Medicare, Medicaid, NCQA, HEDIS, QARR performance
- • Base SAS, SAS SQL, SAS Enterprise Guide, SAS Macro, SAS ODS, SAS Univariate
- • MS Office Suite (Word, Excel, Vlookup, Pivot Tables) MS Access, MS PowerPoint
- • Proficient with large scale data systems access and management
James Nofziger Summary
- James Nofziger, based in Rochester, NY, US, is currently a QI Specialist at WellCare. James Nofziger brings experience from previous roles at University of Rochester Medical Center, Excellus Inc and Drexel Burnham Lambert Inc. James Nofziger holds a School in Computer Science and Technology @ Rochester Institute of Technology. With a robust skill set that includes CMS & AMA coding systems and requirements; CPT, ICD-9, DRG and NDC coding, CMS 1500, UB92, 5010, NPI, PUF file formats, CMS Audit MRR , P4P QI CHPV, HEDIS QARR MR Retrieval, Inovalon SOAP, Cost control programs: Pay for Performance, Quality Management, Utilization Mgt, Dedicated to supporting vendors and associates accomplish enterprise goals and more. James Nofziger has 3 emails on RocketReach.
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