Location: United States
Job Summary:
Job Duties and Scopes:
- Develop and maintain the team’s audit playbook for regulatory and mock audits.
- Manage changing Utilization Management (UM) requirements due to contractual changes or All Plan Letter updates.
Required Skills:
- Strong understanding of clinical compliance and regulatory standards.
- Proficiency in audit methodologies and practices.
Required Experiences:
- X years of experience in clinical compliance or a related field.
- Experience in managing audits and UM requirements.
Job URLs: