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Provides/gathers clinical expertise for areas of compliance which involve medical necessity and/or quality concerns. Utilizes clinical expertise to conduct investigations and seek input from other clinical professionals as required. Acts as a liaison, problem-solver, and negotiator to achieve resolution on member requests and appeals. Responsible for reviewing and analyzing audit related reports and providing consultation on non-compliance.
Qualifications:
Other
Hospital
$93k-120k (estimate)
06/19/2023
06/23/2024
LOMITA, CA
>50,000
2007
THELMA NERI
$50M - $200M
Hospital