Quality Assurance and Control Specialist Hybrid Schedule in Memphis, TN Description: The Quality Assurance and Controls Specialist plays a critical role in supporting operational excellence within Advisory and Managed New Accounts. This position is responsible for
Essential Duties and Responsibilities: - Supervise a team of employees through cultivation of a high performance team - Ensure adequate staff coverage for assigned program area - Serve as subject matter expert for identified area of program knowledge
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within Medicare
Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on