- Centene Corporation (New York, NY)
- …ensure validity of criteria, and appropriately captures evidence of expected clinical performance within contractual and Model of Care standards. + Conducts clinical ... to ensure that clinical elements accurately capture adherence with required performance standards. + Reviews program descriptions, policies and procedures, step… more
- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting for all… more