cost outlier monies requests the medical records and copies all info from imaging UB04 itemized bills copy of EOB medical... cost outlier review mdash;identifies encounter # and copies IPRO letter and faxes letter to vendor handling the cost...
, including: validation of data quality (substantial data sample sizes, adherence to privacy policy, outlier detection);execution...
or populations and begin to use advanced data quality assessments (e.g., outlier detection, assess distributional shifts in data...
Leadership responsibilities - Utilization Management Committee and Patient Outlier Meetings Hybrid work schedule 2-3 days onsite...
audiences. Proficiency in SQL, preferably in Snowflake. Experience with anomaly and outlier detection methods and algorithms...
, preferably in Snowflake. Experience with anomaly and outlier detection methods and algorithms. Strong programming skills...
at all locations. Investigate outlier changes in available inventory in a timely manner and take appropriate follow up actions...
checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member...
, such as profiling, rules generation, validation, outlier detection, monitoring, alerting & notification, and stewardship workflow...
testing, outlier analysis and/or optimization algorithms Previous experience working in a cloud environment 2+ years...