Latest Jobs
Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides leadership in in the investigation of potential FWA cases; its main goal is aimed at detection and prevention of fraud, waste, and abuse. Key Respon...
Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, including Utilization Management, and Quality Improvement in...
Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG® screening criteria. Responsibilities: Manages appropriate cases that require medical necessity rev...