- Zelis (FL)
- Position Overview : At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as they relate to DRG ... validation, itemized bill review, and/or clinical claim review Expert Claim Review. They will be...Clinical Chart Review (CCR) and submit explanation of dispute rationale back to providers based on dispute… more
- Bristol Myers Squibb (Princeton, NJ)
- …regulations and internal SOX guidelines + Working with contracted third-party dispute resolution coordinator or directly with States or their third-party ... and unique perspectives in an inclusive culture, promoting diversity in clinical trials, while our shared values of passion, innovation, urgency, accountability,… more
- City and County of San Francisco (San Francisco, CA)
- …the Occupational Nurse Manager will serve as the Medical Consultant and primary clinical resource for the city and County of San Francisco's Workers' Compensation ... MPN; + Serve on the CCSF Medical Provider Network Committee, + Review clinical records of injured employees to consult on medically-related issues, including regular… more