Global Operations Controls Testing Leader: Payment Control Testing– C13
control testing procedures. Has the ultimate decision on controls testing outlier disputes, holds the responsibility to raise...
control testing procedures. Has the ultimate decision on controls testing outlier disputes, holds the responsibility to raise...
engineering, dimensionality reduction, and outlier detection. Collaborate with data engineering teams to optimize data pipelines... engineering, dimensionality reduction, and outlier detection. Collaborate with data engineering teams to optimize data pipelines...
, and outlier management. Ensure ongoing development to achieve the center's business plan. Maintain and cultivate relationships...
experience with anomaly/outlier detection in time series data Must have an active DoD Secret clearance prior to starting...
, candid attitude Experience in any of the following is highly desirable: Behavioral, time sequence, and outlier detection...
review of cases, validation, outlier cases drill-down, and other clinical data abstraction activities as necessary to support...
, and systems management. The role also conducts data mining in outlier markets, researches root causes, and develops solutions...
outlier changes in available inventory in a timely manner and take appropriate follow up actions. Support regional, resource...
to resolution. Perform audit of suspended and appealed claims reviewed by coding staff. Perform audits of outlier providers..., and recommendations to management. Review reporting for outlier provider claims;request patient medical records to assign diagnoses...
review of cases, validation, outlier cases drill-down, and other clinical data abstraction activities as necessary to support...