News & Events

Mamuya Promoted to Noridian VP of Medical Policy

May 15, 2020|,

Wilfred (Fred) Mamuya, MD, PhD, has been promoted to Vice President of Medical Policy for Noridian Healthcare Solutions, LLC. Noridian is a trusted Medicare Administrative Contractor (MAC) serving beneficiaries, health care providers, and durable medical equipment (DME) suppliers across the United States.

A graduate of Boston University School of Medicine, Dr. Mamuya completed his medical residency and fellowship in cardiovascular medicine at Brigham & Women’s Hospital, Boston, MA. He is board certified in internal medicine, specializing in cardiovascular disease and licensed to practice medicine in Massachusetts.

Well-respected by colleagues, Dr. Mamuya has been the medical director for the Medicare Jurisdiction A DME MAC since 2013. In his newly expanded role, he will provide policy oversight and lead medical director collaboration for Noridian’s Jurisdictions A, D, E, F, and Supplemental Medical Review Contractor (SMRC) contracts, as well as potential new Noridian clinical contracts.

Dr. Mamuya expressed appreciation to Noridian’s senior leadership team for entrusting him in this role, adding, “I look forward to forming enduring relationships with each member of the Noridian family, so that in these changing times, we can together navigate towards whatever ‘new normal’ lies ahead of us.”

With Dr. Mamuya’s promotion, Noridian’s long-standing medical director, Dr. Richard Whitten, will continue full-time medical director responsibilities for the SMRC contract. Noridian’s federal health care contracts will continue to benefit from Dr. Whitten’s 20 years of Medicare experience and knowledge. Dr. Mamuya noted, “Dick is a renaissance man, likely cannot be replicated, and we are all grateful for his many years of leadership.”

Dr. Whitten stated, “Fred now has responsibility for coordinating all activities and processes to assure clinical appropriateness and standards of care within the boundaries of federal and state laws, regulations, and coverage requirements.” He added, “His position provides the expertise to explain, teach, and represent these criteria, activities, and processes to all stakeholders, as appropriate, and specifically on a regular basis to Noridian’s Senior Leadership for both current and potential areas of business. We are in very good hands!”

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About Noridian Healthcare Solutions

Noridian Healthcare Solutions, LLC (Noridian) designs and delivers innovative administrative services that enhance federal and state government health care programs. Noridian has served as a government claims contractor since the federal Medicare program’s inception in 1966. The company is headquartered in Fargo, N.D., with staff located throughout the country. For more information, visit http://www.noridian.com.

 


Noridian Healthcare Solutions receives North Dakota COVID-19 hotline contract

Apr 21, 2020|,

FARGO, N.D. – (April 21, 2020) Noridian Healthcare Solutions, LLC (Noridian) has received a contract to provide assistance to the North Dakota Department of Health’s COVID-19 hotline. The hotline was established by the Department to answer questions and advise residents about coronavirus precautions, COVID-19 testing, quarantine guidelines and a rapidly changing and growing list of…Read More


Noridian Healthcare Solutions Awarded Medicaid Call Center Contract by North Dakota Department of Human Services

Jun 14, 2019|

Noridian Healthcare Solutions Awarded Medicaid Call Center Contract by North Dakota Department of Human Services

FARGO, N.D. – (June 14, 2019) Noridian Healthcare Solutions, LLC (Noridian) has been awarded a $3.3 million contract by the North Dakota Department of Human Services. Noridian will support North Dakota’s Medicaid members and providers by answering their questions about Medicaid claims payment, claims submission, and prior authorization.

Noridian’s proposal to the North Dakota Department of Human Services showcased decades of experience running large-scale call centers, Medicaid knowledge, and a more efficient call center model. As the Medicare Part A, Part B, and Durable Medical Equipment contractor for North Dakota, Noridian already supports many of the providers participating in Medicaid. “This award reflects Noridian’s reputation as a dependable contracting partner,” said Paul Wilson, Noridian President and CEO.
Headquartered in North Dakota, Noridian has deep roots in the state. “Fifty years ago when Noridian started, Medicare claims from North Dakota providers were the first claims we processed,” said Wilson. “We have grown tremendously and now have a nationwide footprint, but we still hold true to North Dakota values.”

Noridian was also recently awarded a contract to provide Medicaid Management Information System (MMIS) services for the state of Iowa. That contract extended the 14 years of work Noridian has done for Iowa’s Department of Human Services to an additional nine years. Noridian holds several Medicare contracts including the Medicare Part A/Part B contracts for Jurisdictions E and F, and the Durable Medical Equipment (DME) contracts for Jurisdictions A and D. Noridian also is the Supplemental Medical Review Contractor (SMRC) for CMS and holds a Unified Program Integrity Contractor (UPIC) award, which allows Noridian to bid on procurements under the UPIC umbrella.

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About Noridian Healthcare Solutions
Noridian Healthcare Solutions, LLC (Noridian) designs and delivers innovative administrative services that enhance federal and state government health care programs. Noridian has served as a government claims contractor since the federal Medicare program’s inception in 1966. The company is headquartered in Fargo, North Dakota, with staff located throughout the country. For more information, visit http://www.noridian.com


Noridian Healthcare Solutions awarded Iowa Core MMIS Services contract

May 10, 2019|

Noridian Healthcare Solutions, LLC (Noridian) has been re-awarded a $48 million contract by the Iowa Department of Human Services, concluding a competitive procurement. With this re-award, Noridian will continue its work administering Iowa Medicaid, which it has done since the inception of the Iowa Medicaid Enterprise (IME) in 2004. Staff supporting this contract are located…Read More


Noridian Healthcare Solutions notified by Iowa Department of Human Services of intent to award

Feb 08, 2019|,

Contact information: media@noridian.com Noridian Healthcare Solutions notified by Iowa Department of Human Services of intent to award FARGO, N.D. – (February 8, 2019) On Jan. 14, 2019, the Iowa Department of Human Services announced its intent to enter into contract negotiations with Noridian Healthcare Solutions (Noridian) for the Iowa Medicaid Enterprise (IME) Core Medicaid Management…Read More


Noridian Re-awarded CMS JF Contract

Jul 23, 2018|,

Noridian has been re-awarded the Part A and Part B Medicare Administrative Contractor Jurisdiction F (JF) contract by the Centers for Medicare & Medicaid Services (CMS), concluding a full-and-open competitive procurement. Under this re-award, Noridian will continue to perform the JF contract which it was first awarded in 2011. “The re-award reflects Noridian’s strong performance…Read More


Noridian Earns Prestigious Center of Excellence Recognition from BenchmarkPortal

Mar 27, 2018|,

Noridian’s Provider Contact Center has been certified as a Center of Excellence by BenchmarkPortal. The Center of Excellence recognition is one of the most prestigious awards in the customer service and support industry. “Noridian’s Provider Contact Center is always working towards making the customer experience better and more efficient for those providers we serve,” said…Read More


Noridian Awarded CMS UPIC SMRC Contract

Mar 22, 2018|,

Noridian has been awarded a $227 million Supplemental Medical Review Contractor (SMRC) contract by the Centers for Medicare & Medicaid Services (CMS), concluding a competitive procurement as a part of the UPIC IDIQ. To support the new contract, Noridian will be hiring approximately 300 individuals. Staff supporting the SMRC contract are located in Noridian’s Fargo…Read More


EDI Partners Teams with Noridian to Offer EDI Outsourcing Services

Mar 19, 2017|,

Supporting a more cost-effective electronic data interchange (EDI) model for health care payers, EDI Partners has teamed with Noridian for EDI outsourcing services. The services supported by the partnership will include data collection and communication between the health care provider and payer in support of all business functions including eligibility verification, claims collection, claims status,…Read More