…Conduct quality audits and review final recommendations provided by Utilization Management nurses and review reconsiderations submitted by Utilization Management

…are to be carried out in a manner which stresses safety, incorporates countermeasures and is consistent with company policies, customer service and plant objectives.

…& RequirementsSpecialty: Radiology TechnicianDiscipline: Allied Health ProfessionalStart Date: 06/15/2024Duration: 13 weeks40 hours per weekShift: 8 hours, days,

…Responsible for assisting Members in navigating the healthcare system by finding and following up by phone and in person with hard-to-reach Members, helping Members

…Audit internal systems and controls to ensure the claims system is set up correctly and claims are processed in accordance with contractual and regulatory