- Ultimate Staffing (Long Beach, CA)
- Position Summary The Clinical Audit Manager plays a key role in ensuring timely and accurate completion of Utilization Management (UM) and Case Management ... from audit findings or reporting deficiencies. The Clinical Audit Manager will communicate...4 years of experience in a Managed Services Organization ( MSO ), Independent Physician Association (IPA), or Health Plan setting.… more
- Dignity Health (Bakersfield, CA)
- …as well as enhance controls to prevent future payment errors. The Recovery Manager works in close coordination with internal audit , provider dispute resolution, ... of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan MSO or delegated… more
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