negative trends and communicate to key stakeholders. Ensure any outlier reports are managed and submitted to Center of Medicare...
analysis clustering and outlier detection Strong understanding of: adversarial ML challenges noisy/weak/no-label...
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...
outlier patients and support barrier resolution incl. participation in complex case meetings for assigned patients Ensures...
outlier patients and support barrier resolution incl. participation in complex case meetings for assigned patients Ensures...
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...
, Carol Stream, Wheaton, Lombard, Oak Brook Lisle, Downers Grove, Woodridge, Naperville. Outlier areas depending on census...
and outlier detection Strong understanding of: adversarial ML challenges noisy/weak/no-label environments data imbalance...
measurement data to ensure accuracy, consistency, and reliability. Identify and remeasure outlier data points. Author measurement...
for claim reimbursement. Reviews outlier cases to determine level of care and clinical appropriateness. Assists as appropriate...