Clinical Rules Management Director
A company is looking for an Associate Director, Clinical Rules Management. Key Responsibilities Collaborate with clinical staff to develop and implement systems that improve patient outcomes Conduct regular system audits to ensure data accuracy and quality Lead the evaluation of clinical processes and facilitate process redesign in collaboration with clinical teams Required Qualifications, Training, and Education Bachelor's degree with 7-10 years of relevant work experience Experience in managing small to mid-sized teams Good understanding of specialty benefit management business Knowledge of ICD-10-CM and CPT coding assignments Project management skills to handle multiple time-sensitive tasks
A company is looking for an Associate Director, Clinical Rules Management.
Key Responsibilities
Collaborate with clinical staff to develop and implement systems that improve patient outcomes
Conduct regular system audits to ensure data accuracy and quality
Lead the evaluation of clinical processes and facilitate process redesign in collaboration with clinical teams
Required Qualifications, Training, and Education
Bachelor's degree with 7-10 years of relevant work experience
Experience in managing small to mid-sized teams
Good understanding of specialty benefit management business
Knowledge of ICD-10-CM and CPT coding assignments
Project management skills to handle multiple time-sensitive tasks
