Compliance Specialist II
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the...
and implement discharge plans for patients to meet their needs for post-acute care services, avoid outlier days, reduce the length...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
needs. Design and implement advanced analytics and statistical models to support anomaly and outlier detection...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
based on NHTSA Risk Matrix severity level and frequency criteria, as well as TREAD EWR data outlier thresholds. Collaborate...
such as distribution analysis, correlation analysis, outlier detection, multivariate analysis, time series, machine learning...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
solutions and benefit programs. - Develop models and pricing analysis for medical outlier claims. - Review and recommend plan...