Clinical Audit and Outlier Program Manager Job in Newark, New Jersey US
Job Summary This role has responsibility for the Clinical Auditing and Monitoring team and also has oversight of the Physician Outlier Program including oversight of two vendors who support the pre and post payment audits of providers identified for either component of the overall Horizon Outlier Program. Position requires the ability to work with Cross Divisional work group to facilitate the Physician Outlier Program including but not limited to: Special Investigations, Service, Network Operations and Finance Job Qualifications Education/Experience: – 4 Year College degree required Read more […]