Oracle
This role utilizes clinical expertise to review medical documentation, ensuring medical necessity and appropriate levels of care through prospective, retrospective, and concurrent reviews. The specialist validates medical records and claims to support correct coding and appropriate reimbursement while resolving escalated utilization management issues. Additionally, the position involves preparing cases for administrative hearings and serving as a clinical resource for medical directors and providers.
Oracle Corporation is a multinational technology company that builds enterprise software, cloud infrastructure, and engineered systems for large organizations. Best known for the Oracle Database, the company also offers a broad portfolio of enterprise applications (ERP, HCM, CX), analytics, middleware, Java, and hardware, plus Oracle Cloud Infrastructure (OCI) with SaaS, PaaS, and IaaS services. Oracle supports customers through consulting, managed services, and global technical support to migrate and modernize mission‑critical systems. Enterprises choose Oracle for its integrated stack, scalable performance, and enterprise‑grade security and reliability.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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and employee contacts for Oracle.
Oracle didn’t post a salary, so this is our estimate from similar listings.
10% below the average for this role