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Quality Assurance 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 performing quality reviews,
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
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