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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job ID 21000F79Available Openings 1Position Specific Information This position has a Sign On Bonus totaling $5000.00. 1/2 will be paid after 90 days of employment and the balance after one year. ..
... speak with contracted external physicians, physician groups, facilities, or community groups ... upon request of the attending physician Participates in HCO MD Inter-Rater ... Development forum (TAF) Collaborates with..