Company:
Integrated Resources
Location: New York
Closing Date: 26/10/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description
Duration- 9-12 months
Essential Duties and Responsibilities:
- (8:00 am-5:00 pm or 7:30 am-4:30 pm -Monday-Friday)
Duration- 9-12 months
Essential Duties and Responsibilities:
- Function as a Subject Matter Expert in one or more process areas.
- - Analyze data submitted for Independent Medical Review.
- - Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- - Track and meet required deadlines for complex cases or other assigned tasks.
- - Assist leadership through research of data and/or authoring reports.
- - Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- - Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- - Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- - Assist others or provide on-the-job training or act as a mentor to production staff.
- **********Minimum Requirements:
- - High School Degree or equivalent required.
- - 2-4 years of related professional experience required.
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Integrated Resources