About Orica At Orica, it’s the power of our people that leads change and shapes our futures. Every day, all around the world, our people help mobilize vital resources essential to progress. Established in 1874, we
Job Title Provides support and subject matter expertise for member clinical dental review activities. Job Description Determines appropriateness and medical necessity of member dental care services - targeting opportunities for quality improvement and satisfaction for members
Essential Duties and Responsibilities: - Perform as a key member of the senior management team responsible for meeting cost, schedule, and quality requirements of the project. - Oversee all contract administrative functions including policy, budget, and
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately