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Medical Appeals and Grievances Support Specialist Job Summary Supports the review, research, processing, and resolution of medical and pharmacy appeals and grievances. Conducts investigatio…
Quality Assurance Coder/Auditor Job Summary Develop and support risk mitigation and provider education programs focused on accurate medical record documentation, HCC coding, risk adjustment…
Grievance and Appeals Clinical and Administrative Specialist Job Summary Serves as a clinical and administrative subject matter expert for Part C and Part D grievances and appeals. Investig…
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