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Über
Oversees and manages quality audits to ensure timely and accurate adjudication of cases Plans and implements processes to improve efficiency and control costs within the Quality Program Prepares and reviews statistical analyses to identify trends and improvement opportunities
Required qualifications
Associate's degree or 60+ credit hours towards a Bachelor's degree in healthcare or related discipline Five years of clinical experience, including Medicare appeals decision-making Three years of management or supervisory experience Demonstrated experience in writing or making medical necessity decisions Experience managing complex workloads in a Medicare or healthcare environment
Sprachkenntnisse
- English
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