Lead Level Support for COB-Specific Claim Pricing Audits

This role provides lead-level support for COB-specific claim pricing audits, ensuring accurate and timely implementation of critical information on claims and provider databases. The position involves validating data, facilitating end-to-end claim audits, and maintaining audit records while ensuring adherence to business and system requirements. The role also includes monitoring audit backlogs, providing counsel on coverage interpretation, and ensuring timely completion of audits according to established standards.