Healthcare Fraud Investigator
in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data...
in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data...
in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data...
monthly to improve performance / set goals. Leverage Labor/Food Cost Toolkit to aggressively troubleshoot and improve outlier...
care fraud, defense procurement contract fraud, and other government program fraud Identify possible outlier billings...
, maintenance, demand history or outlier cleansing for assigned items. Monitor forecast accuracy and forecast bias KPI's for the...
& Outlier Management: Oversee national DSD clinical performance (e.g., Fluid, Albumin, MI, MBD) and the Pharos / Outlier...
, PostgreSQL) and handling datasets with millions of records. · Proficiency in statistical methods for outlier detection, time...
, statistical scoring, outlier identification) applied to large-scale operational datasets Experience with MLOps and DevOps...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the...
Cost Toolkit to aggressively troubleshoot and improve outlier performance. Leverage a Profit Mindset to control spending...