Utilization Review Specialist Team Lead - Villa Rica - Southeastrans

    Southeastrans
    Southeastrans Villa Rica

    1 day ago

    Description

    Job Title: Utilization Review Specialist Team Lead

    This is a leadership position within our Utilization Review team. The ideal candidate will have strong knowledge of Medicaid and Medicare rules as well as experience in utilization review or related operations.

    • Lead the Utilization Review team to ensure timely accurate compliant decisions on member transportation requests.
    • Supervise daily operations including assigning work monitoring throughput ensuring quality adherence to policy & contractural guidelines.
    • Oversight review enrollment facilitiy&into SUbcription-Stanging Order Transportatio Progarm(NMT)

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