Lead comprehensive audits of inpatient medical records to ensure accurate coding and clinical documentation alignment with billed DRGs, enhancing quality assurance and compliance in clinical validation processes.

Join a leading role where you’ll oversee appeal reviews, guide clinical operations, and enhance care quality for Medicare members. Your expertise will drive innovation and ensure cost-effective healthcare delivery.

Take ownership of data analysis for Commercial Risk Adjustment CMS submissions, ensuring compliance while supporting audits and migrations to cloud technologies. Drive innovation and automation within a dynamic, collaborative environment.

Join a dynamic team where you will lead appeal reviews for Medicare services, ensuring optimal medical care quality and cost-effectiveness while providing consultation and implementing programs that enhance outcomes and operations.

Manage and enhance external client programs by overseeing development, compliance, and strategic initiatives. Foster partnerships with business areas to ensure program success and adapt to industry trends, driving impactful outcomes.