- Molina Healthcare (Louisville, KY)
- …the appropriate approvals and escalations are achieved. Coordinates with Associate Vice President , Special Investigations Unit, Regulatory Operations (AVP- SIU) ... analysis to identify outliers/potential fraud, waste, abuse and overpayments within overall payment integrity framework * Strategizes with cross functional teams… more
- Elevance Health (Louisville, KY)
- …pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity , palliative care, advocacy, research, digital platforms, ... support to teams involved in Utilization Management, Specialty Benefits Management, Payment Integrity , Advocacy, Health Plan Subrogation, Behavioral Health,… more