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Achieving and maintaining accurate revenue integrity is mission critical for managed Medicaid health plans (MCOs). Easier said than done however. Managing churn, dealing with membership update fall-outs, utilizing monthly rosters efficiently and effectively, and most importantly identifying and tracking inaccurate member payments from state agencies are just a few of the challenges faced by MCOs. Easier said than done, right?

It doesn’t have to be. Edifecs Enrollment Management for Medicaid take a comprehensive approach in solving enrollment challenges and delivers demonstrable value to MCOs such as:

  • Reducing risks, costs and challenges associated with Medicaid churn
  • Ensuring accurate Medicaid reimbursement (as well as reimbursement from other enrollment partners)
  • Reducing costly and error-prone manual data entry via integrated workflows

Please use the short form on this page to register for this complimentary webinar series. Each webinar is a calendar-friendly 30 minutes!

Register for the Webinar Series!

Meet the Presenters
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Aaron Fulner, Sr. Director, Product Marketing, Edifecs
Aaron Fulner is a Senior Director of Product Marketing at Edifecs. A passionate, seasoned product marketing leader, Aaron has spent many years directing the go-to-market strategies behind cutting edge, enterprise-level software solutions for health insurers. His focus spans insurers involved in commercial, managed Medicaid, Medicare Advantage and Dual Eligible programs. His expertise also spans insurers of all sizes and types ranging from small, regional plans, large, national plans and Blue Cross/Blue Shield organizations.

Edifecs Inc. is a global healthcare software company committed to improving outcomes, reducing costs, and elevating the value of healthcare for everyone. Edifecs delivers the industry’s premier IT partnership platform to providers, insurers, pharmacy benefit management companies, and other trading partners. By mobilizing its leading solutions at the front end of the healthcare information pipeline, Edifecs provides a unified platform for partners to flexibly pilot and scale new initiatives using their existing enterprise systems. Since 1996, hundreds of healthcare customers have relied on Edifecs partnership solutions to future-proof their leading initiatives in the midst of a dynamic healthcare landscape. Edifecs is based in Bellevue, WA, with operations internationally. Learn more about us at edifecs.com.

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July 25 Webinar:

August 1 Webinar:

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Anubha Singh, Associate Director of Product Management, Edifecs
Anubha Singh is an Associate Director of Product Management at Edifecs. Anubha has a rich experience in various aspects of the Healthcare domain and has worked at health plans for many years in their various lines of business including Commercial, Medicaids and Exchanges. Currently as part of Edifecs’ product management team, she manages a product portfolio of roughly 10 million dollars.
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Robbi McClane, Sr. Director, Product Management, Edifecs
For over 15 years, Robbi McClane has designed products for healthcare IT applications. She currently serves as senior director of product management at Edifecs where she is an instrumental member of the product strategy leadership team. Prior to joining Edifecs, Robbi was senior product management director for Vitria where she focused on BPM business solutions for healthcare. A graduate of Penn State's Vocational Educator program, she taught computer science at the high school and post-secondary level for eight years before becoming a technical instructor for EDS and later, a product manager in their community banking division.
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Hitesh Kurani, Director, Solution Consulting, Edifecs
Hitesh Kurani is a Director of Solution Consulting at Edifecs. His career in healthcare spans 12+ years, which most recently includes advising solutions to health plans that will support their revenue integrity and growth, with a focus on encounter management and risk adjustment solutions for Medicare Advantage, Medicaid and Commercial health plans. Prior to that, his experience spans from providing consulting in healthcare business support services, building solutions to support health plan operations, and managing the implementations of enterprise software.
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Hitesh Kurani, Director, Solution Consulting, Edifecs
Hitesh Kurani is a Director of Solution Consulting at Edifecs. His career in healthcare spans 12+ years, which most recently includes advising solutions to health plans that will support their revenue integrity and growth, with a focus on encounter management and risk adjustment solutions for Medicare Advantage, Medicaid and Commercial health plans. Prior to that, his experience spans from providing consulting in healthcare business support services, building solutions to support health plan operations, and managing the implementations of enterprise software.
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Anubha Singh, Associate Director of Product Management, Edifecs
Anubha Singh is an Associate Director of Product Management at Edifecs. Anubha has a rich experience in various aspects of the Healthcare domain and has worked at health plans for many years in their various lines of business including Commercial, Medicaids and Exchanges. Currently as part of Edifecs’ product management team, she manages a product portfolio of roughly 10 million dollars.

August 8 Webinar: