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Medical Program Specialist

Company: Centene Coproration
Location: Little Rock
Posted on: July 15, 2019

Job Description:

Description: Position Purpose: Responsible for analyzing various medical management programs that impact URAC/NCAQ. Conduct audits of various departments and modify/create training materials as necessary based on audit results. Develop and modify processes, and conduct the assessment of/planning for programs that impact URAC/NCQA. Conduct program analysis for variety of functions, and/or processes, with reporting on trends and overall metrics. Collection and analysis of data for any Corporate, or State, initiatives. Audit various departments including the concurrent review team and outpatient case managers and various functions including Interqual reviews. Develop and administer new hire Interqual testing process and remedial training programs. Responsible for maintenance of the training database records to ensure all training is reported and tracked. Develop and train on the comprehensive discharge planning curriculum, with pre and post testing, for Medical Management department.

Keywords: Centene Coproration, Little Rock , Medical Program Specialist, Healthcare , Little Rock, Arkansas

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