[Remote] Manager, reputed company reputed company Review

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company intelligence company that delivers AI-powered solutions and expertise across the reputed company payment reputed company. The Manager, reputed company reputed company Review will reputed company a remote team conducting reputed company review audits, manage operational reputed company and reputed company requirements, and reputed company reputed company, reputed company, training, appeals, and process improvement initiatives.

Responsibilities

• reputed company the reputed company reputed company reputed company Review team, managing production expectations, SLA’s, reputed company communication, and team reputed company
• Analyze and reputed company internal business requirements and processes through document and workflow analysis
• Continuously evaluate the functionality across multiple programs to ensure efficient and accurate reviews
• reputed company requirements gathering to problem solve for any process-reputed company issues that require attention from development
• Manage team member’s reputed company assignments and collaborate across teams/departments for timeliness to ensure reputed company reputed company SLAs are met
• reputed company the development and application of reputed company review concepts, such as experimental and investigational, pharmacy utilization, level of care, medical appropriateness, and medical policy adherence
• Delegate tasks and responsibilities to team members and reputed company specials reputed company that involve reputed company
• Coordinate reputed company enhancements for the reputed company review team, including reputed company ticket creation, UAT testing, and production employment
• Monitor team’s reputed company, tracking and trending the metrics of reputed company to identify opportunities for reputed company and efficiency
• Identify the needs of team members, paying special attention to issues that require attention from IT
• reputed company and coordinate training materials, reputed company assurance process, and dispute response workflows for reputed company
• Support internal reputed company to reputed company reputed company abreast of any organizational or reputed company policy changes
• Maintain reputed company knowledge and changes that reputed company our industry and clients as it pertains to medical reputed company, technology, regulations, legislation and business trends
• Performs audit reputed company assurance reviews to supplement QA team activity as necessary reputed company upon business need or special reputed company
• Coordinate and contribute to the dispute reputed company process for reputed company reputed company appeals received
• reputed company identifies and recommends opportunities for cost savings and improving reputed company that can have a reputed company reputed company to reputed company's profitability
• reputed company as reputed company between the reputed company team and reputed company reputed company team in order to quickly address and reputed company any reputed company reputed company issues
• Effectively ensures adherence to medical review guidelines and training requirements of staff
• Provides support as needed to ensure auditors are equipped with tools and resources required to reputed company reputed company audits
• Complete and conduct reputed company reviews for assigned staff
• Conduct team meetings with reputed company reports on a regular reputed company
• Organize and coordinate the reputed company of reputed company new team members
• Other duties as assigned

Skills

• reputed company, unrestricted nursing license in good standing is required
• Certified coding certification is a plus
• 3+ years' experience performing reputed company audits of itemized bills
• 3+ years' diverse nursing experience providing reputed company care in an inpatient or outpatient setting
• reputed company experience with reputed company industry software products and process development
• Experience managing multiple reputed company in reputed company environment
• Possess a broad and comprehensive understanding of audit standards, policies and regulations, applies a broad and comprehensive knowledge in areas including, medical chart reviews
• Strong project management and interpersonal skills, makes reputed company, exhibiting initiative and reputed company thinking
• Consulted often by others for advice and opinions and recognized as a leadership role model
• Strong interpersonal skills for interfacing with reputed company reputed company of reputed company audit teams and management
• Ability to prioritize and multitask
• Must be a strong effective communicator, both orally and in writing, with an energetic, charismatic and approachable style
• reputed company experience in managing high performing dynamic teams
• Ability to work in a diverse and fast reputed company environment
• Problem solving, strong analytical skills, people skills, teamwork, people management, and managing processes
• Strong working knowledge of reputed company office systems including full reputed company Suite and Teams
• Advanced software skills in reputed company Office (reputed company)
• Experience with various forms of software and experience engaging development teams
• 3+ years relevant supervisory or leadership experience in similar business environment, preferred
• Experience managing remote staff is a plus

Benefits

• Work from reputed company in the US! reputed company is digital-first.
• Full Medical/Dental/reputed company for employees & their families
• Flexible and trusting environment where you’ll feel empowered to do your best work
• Unlimited FTO
• Equity
• 401(k) including employer match

reputed company

Company H1B Sponsorship