Sentara Health
Sentara Health is seeking a Remote Quality Improvement Specialist to conduct comprehensive clinical and documentation reviews of behavioral health claims prior to payment. The role ensures services meet medical necessity, regulatory, contractual, and billing requirements while collaborating with providers and clinical teams to support accurate reimbursement. This position requires a strong understanding of behavioral health diagnoses, Medicaid regulations, and claims processing to make evidence-based determinations on claim payments.
Headquarters
Norfolk, Virginia, United States
Company Size
10001+ employees
Founded
1888
Sentara Health is a not-for-profit integrated healthcare system serving Virginia, North Carolina, and Florida. Our mission is to improve health every day.
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 Sentara Health.
12% above the average for this role
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