using large data sets and analytic techniques such as standard deviation, simple matching, stack counting, outlier detection...
care fraud, defense procurement contract fraud, and other government program fraud Identify possible outlier billings...
outlier talent, we adjust quickly to ensure their compensation aligns with their impact. Our job titles may span more than...
and interpret payer contracts (fee schedules, DRG/APC, per diem, percent-of-charge, case rates, carveouts, stoploss/outlier...
Validation Readmission Review Cost Outlier Level of Care review IRO review activity, as required. UM review activity, Initial...
These compensation bands are just the starting point. Once someone joins and proves they're outlier talent, we adjust...
Develop repeatable analytic tests (e.g., exception testing, outlier/trend analysis, threshold-based monitoring) and reusable...
like precision and recall Knowledge of and practice with descriptive statistics and outlier detection Experience using business...
Interdisciplinary Outlier Committee, and communicates with physicians, Case Management Director, and Administration about patient needs...
These compensation bands are just the starting point. Once someone joins and proves they're outlier talent, we adjust...