Seeking Dental Hygienist to review claims with the submitted diagnostic material to make proper benefit determinations based on group contracts and DeltaUSA and departmental established guidelines/policies. Responsible for clearing up queues on a daily basis and to pend appropria...

The Neuroscience Health & Science Professional is responsible for increasing territory sales and developing relationships with assigned customers through product promotion and determining optimal business management strategies. This involves driving sales, engaging customers both face-to-face and virtually, and developing effective territory call plans.

The Lead Assistant Manager oversees the Behavioral Health audit program to ensure Company standard of accuracy is met by validating the accuracy of billed coding against medical documentation. This role involves undertaking quality reviews of random and targeted coding audits to check the accuracy and completeness of the audits performed by the BH coding auditor.

The Inpatient Review Nurse performs reviews of inpatients with complex medical and social problems, ensuring services are provided at the most appropriate, cost-effective level of care while maintaining safety and quality. This role involves generating referrals, performing follow-up evaluations, and collaborating with physicians and ancillary providers to coordinate care activities.