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© All Rights Reserved. ApplyBlast.com
Noridian Healthcare Solutions
The Redetermination Examiner reviews incoming Medicare Redetermination appeals to make determinations based on documentation and established guidelines. This role ensures compliance with CMS regulations, responds to appellants, and maintains quality administration. The position involves researching claims processing deficiencies, updating guidelines, and providing educational referrals to decrease redeterminations.
Noridian Healthcare Solutions is a healthcare administration company with nearly 60 years of experience delivering operational solutions for federal, state, and health plan programs nationwide. Based in Fargo, ND, the company provides services including claims processing, medical review, provider management, and contact center operations. Noridian serves nearly 24 million healthcare recipients across all 50 U.S. states and is a subsidiary of HealthyDakota Mutual Holdings.
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
View leadership team, funding history,
and employee contacts for Noridian Healthcare Solutions.