Job DetailsJob Location: DSS JH North Palm Beach - North Palm Beach, FL 33408Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $80,000.00 - $100,000.00 SalaryTravel Percentage: Up to 50% Job Shift: DayJob Category: Professional ServicesDSS,
Job Title Provides analyst support for delegation oversight activities including monitoring delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements. Responsible for gathering, coordinating, analyzing, and processing compliance
Job Description Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through