- Guidehouse (New York, NY)
- …notified by **Friday, Oct. 24** **What You Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The ... to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises...etc.) and driven by critical thinking to inform the managed care strategy and to unlock the… more
- Nuvance Health (Danbury, CT)
- …reviews to assist with appeals of denied or downgraded coverage determinations by managed care , commercial payers, and recovery audit contractors. * Maintain and ... physician leadership and expertise related to appropriate utilization/level of care (LOC) and appropriate clinical documentation. Provides oversight for other… more