In this role, the selected candidate will coordinate and perform onsite medical record reviews at provider offices to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service delivery and quality standards, and where assigned investigation of quality of care and member complaints relative to quality of care and service.
In this role, the selected candidate will 4consult with internal resources to identify opportunities for improving provider/member outcomes as related to gaps in quality care and/or disease management program participation.
In this role, you will provides consultation to data partner including framing business questions, developing solutions, analyzing study findings, and interpreting results in terms of impact to the data partners business.
In this role, the selected candidate will provide knowledge transfer of high-level requirements to company product teams and participates in estimating sessions on new development required to meet client requirements.
This position will be responsible for building the security governance model to support the Vulnerability Management Program in the static code analysis reviews as applications are being developed at Mastercard.
In this role, the selected candidate will give you the tools you need to create meaningful experiences. You will participate in best-in-class Training Program on your company provided iPad, that is self-paced, facilitated both electronically and through hands-on mentoring by shadowing a top performing Consultant in your district.