- Highmark Health (Washington, DC)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician 's professional discipline.Effectively function in ... satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment and retrospective claims review… more
- BrightSpring Health Services (Arlington, VA)
- …analysis on clinical and clinically related financial outcomes data to ensure integrity of care, compliance with requirements and improve ongoing services + Performs ... follow-up to validate timely resolution of action items. + Promotes clinician retention through oversight of ongoing staff development. Monitors integrity… more
- NORC (Washington, DC)
- …in health care delivery and financing - including access to insurance, payment and delivery-system reform, benefit design, and quality measurement - advance ... and target populations + Develop protocols and conduct structured clinician /provider stakeholder interviews pertaining to pharmaceutical drug prescribing practices +… more