Job Title Pay Range: $61.34hr - $66.34hr Requirement/Must Have: Bachelors Degree. Minimum of 5+ years contract administration experience. Minimum of 5+ years project management experience or equivalent experience. Claims management experience. Contract reading and writing experience.
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
Essential Duties and Responsibilities: - Perform hands-on data analysis and modeling with huge data sets. - Apply data mining, NLP, and machine learning (both supervised and unsupervised) to improve relevance and personalization algorithms. - Work side-by-side