... claims, Hierarchical Condition Categories (HCC) and clinical coding, call monitoring, system technology ... , statistical, operational and financial results. Responsible for advanced topical and technical research ...

... modules to incorporate user feedback and collaborate with subject matter experts throughout clinical ... Manager, Clinical Education Programs. Supervision Exercised: None **What You'll ...

... community to research and resolve complex provider issues. Take ownership of the provider ... to: Claims and service recovery Program benefits Clinical initiatives ...

... , flexibility, and openness to change. Represent CCA and its clinical affiliates with professionalism. Keep ...

... suspicious patterns for further investigation. Conduct detailed research to identify and apply ... considered. AHFI, CFE, CPC/medical coding, clinical background or formal data analyst background ...

... Research new ways to conduct business operations Research new technologies and its applicability ... solidified the candidate’s strategic business, clinical and/or financial acumen and ability to contextualize ...