Job Summary: The Program Integrity Medical Coding Reviewer III supports most complex medical record audit programs, dispute management, escalation management and generates concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential
Job Summary: The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled analytic tools. This role is responsible for evaluating provider payment methodologies,
Develop department-wide, scalable, efficient database solutions for supporting reporting functionality. Create ETL solutions for automated, scheduled data refreshes and regular report delivery. Develop and deploy Power BI dashboards which provide leadership with actionable insights that drive