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Achieving and maintaining accurate revenue integrity is mission critical for managed Medicaid health plans (MCOs). But MCOs face daunting challenges including 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. Easier said than done, right?

It doesn’t have to be. Edifecs Enrollment Management for Medicaid take a comprehensive approach to 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

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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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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.