Diversion Specialist
support to clinical leaders by auditing medication transactions when outlier status or other indicators provoke concern...
support to clinical leaders by auditing medication transactions when outlier status or other indicators provoke concern...
performance / set goals. Leverage Labor/Food Cost Toolkit to aggressively troubleshoot and improve outlier performance. Leverage...
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...
control testing procedures. Has the ultimate decision on controls testing outlier disputes, holds the responsibility to raise...
experience with anomaly/outlier detection in time series data Must have an active DoD Secret clearance prior to starting...
, and systems management. The role also conducts data mining in outlier markets, researches root causes, and develops solutions...
, candid attitude Experience in any of the following is highly desirable: Behavioral, time sequence, and outlier detection...
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...