for population means and outlier identification;Pareto analysis for debug processes Relevant professional experience in any of the...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier, and Readmission reviews. Pricing...
and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates...
issues (e.g., software), and flags outlier results for review. (The above statements in this job description are intended...
, outlier definition for issues, and solution strategies. Continuously update the SOP based on product iterations and customer...
and management-owned businesses. We achieve outlier results for our clients by leveraging direct relationships with various types...
and management-owned businesses. We achieve outlier results for our clients by leveraging direct relationships with various types...
with FA for IDP/Ladder/PDR. Clinical Outlier Support: Act as the SME for Clinical Outcomes, providing strategic oversight...
for both technical accuracy and adherence to pricing policies. Outlier Management & Intervention: Proactively identify, investigate...
on clinical drivers and patient safety concerns. Clinical Outlier Support: Collaborate with leadership to align on priority... and coaching. Provide clinical outlier support by focusing on hospitalizations and quality and leveraging support from various...