Quality Oversight Analyst

Review paid and rejected claims to assure appropriateness in the adjudication processes according to client's formulary, Drug Utilization Review (DUR) settings, benefit design, laws and regulations.Generate and monitor key performance indicators (KPI's).
Date Posted: 09/11/23
Remote Work Level: 100% Remote
Location: US National
Job Type: Employee
Job Schedule: Full-Time
Career Level: Experienced
Travel Required: No
Categories: Medical Billing, Pharmaceutical, Analyst
Company: Company name here
Benefits: Other benefits listed here

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