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Associate BPM Lead (Utilization Management USRN)

A company in Taguig City, Metro Manila currently looking for Associate BPM Lead (Utilization Management USRN), posted last Thu, 23 Jan 2025 06:43:08 GMT.

Job Description: Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, the intensity of service, and level of care, including appeal requests initiated by providers, facilities, and members Review, research, and prepare documentation related to retrospective review requests and appeals in accordance with…read more

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Tags: Health, Jobs, Philippines,Associate,Utilization


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