- Prime Therapeutics (Richmond, VA)
- …pharmaceutical solutions by participating in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. Expert ... Program Integrity Audits including outreach and review of medical records to audit authenticity of provider response during Prior Authorization and reporting results… more
- Somatus (Mclean, VA)
- …expert to operational and leadership teams. + Oversee the HEDIS project for quality and timeliness regarding nurse assignments, vendor oversight, and timeline ... analysis, and suggest resolution processes providing standard operating procedures maintenance/ audit tools in collaboration with training and operational teams. The… more