Hybrid Claims Delegation & Analytics Lead (NY/NJ/CT)
VillageCare
VillageCare is seeking a claims analytics leader to develop strategies that optimize the claims audit/review process, monitor KPIs, and ensure compliance across delegated vendors to health plan and regulatory standards. This role leads a team of claims analysts and collaborates with Network Management, Utilization Management, BI, Member Services, Compliance and Finance. The position requires overseeing audits and reviews of delegated vendors, ensuring timely and accurate claims processing while #J-18808-Ljbffr VillageCare
Vacancy posted 2 days ago
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