oraclecloudinfrastructure
The Medical Compliance Auditor reviews and approves or denies medical claim appeals while performing clinical audits of medical records submitted by providers. This role requires clinical judgment, utilization review, and verification of medical necessity using nationally recognized criteria within a fast-paced environment. The position involves assessing treatment plans, consulting with medical directors, and ensuring compliance with regulatory requirements for Medicaid managed care.
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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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