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Description The Senior Compliance (UM) Professional conducts and summarizes compliance audits. The Senior Compliance (UM) Professional work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
... encounter inbound/outbound process issues, using data from internal and external sources ... outbound. Identify and interpret encounter data, submission requirements and performance metrics ... requirements and performance metrics per..