Analyst

• Conduct medical record reviews and apply sound clinical judgment to claim payment decisions
• Additional research on medical claims data and other sources of information to identify problems
• Review sophisticated data model output
• Utilize a variety of tools to detect situations of potential fraud
• Support ongoing fraud investigations and requests for information
• Research national and local policy as well as Medicare and/or Medicaid guidelines for supporting references in review determinations
• Conduct reviews under the guidance of a Medical Review Manager/supervisor

Medical Review Analyst, Registered Nurse

Technical Patent Analyst, Prior Art, Patentability, Competitive Intelligence

Technical Patent Analyst, Prior Art, Patentability, Competitive Intelligence

Deal Desk Analyst II

Treasury Analyst

Client Delivery Analyst III – Debit Conversions