, with strong preference for the Chicago metro area, to support efficient travel across Illinois, Kansas, Minnesota, and Wisconsin. (outlier...
. In addition, this teammate also works directly with the division lead social workers on outlier management with clinic social...
with FA for IDP/Ladder/PDR. Clinical Outlier Support: Act as the SME for Clinical Outcomes, providing strategic oversight...
members, focusing on clinical drivers and patient safety concerns. Clinical Outlier Support: Collaborate with leadership... cause analysis and coaching. Provide clinical outlier support by focusing on hospitalizations and quality and leveraging...
to ensure important and outlier tickets are addressed Works with other internal teams to create and update technical standards...
clustering, natural language processing, and outlier identification). These techniques are intended to maximize the value derived...
on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment...
a best fit statistical forecast. This includes maintenance of SKU segmentation, outlier correction and a detailed understanding...
. Review reporting for outlier provider claims;request patient medical records to assign diagnoses, treatments, and surgical...
compensation bands are just the starting point. Once someone joins and proves they're outlier talent, we adjust quickly to ensure...