- Molina Healthcare (New York, NY)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
- Hackensack Meridian Health (Edison, NJ)
- …recovery efforts and collaborating with care management and physician advisors on continuous process improvement . **Responsibilities** A day in the life of a ... clinical denials, collaborating with care management teams and physician advisors on process improvement . Provide leadership and oversight to the Vice President,… more