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© All Rights Reserved. ApplyBlast.com
Neighborhood Health Plan of Rhode Island
The RN Clinical Auditor conducts comprehensive reviews of claim data and medical records to investigate fraud, waste, and abuse. This role utilizes data mining tools and coding guidelines to identify aberrant billing patterns and ensure compliance with regulations. The position involves collaborating with internal teams and external agencies to manage cases and support recovery efforts.
Neighborhood Health Plan of Rhode Island (NHPRI) is a Rhode Island-based nonprofit health insurance organization that has been providing health coverage to Rhode Island families for over 30 years. The organization offers a range of plans including Medicaid (RIte Care), commercial individual and family plans, small business plans, and Medicare-Medicaid dual eligible special needs plans. NHPRI is dedicated to connecting members with quality health care providers and supporting the health and wellness of Rhode Island communities.
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 Neighborhood Health Plan of Rhode Island.
Neighborhood Health Plan of Rhode Island didn’t post a salary, so this is our estimate from similar listings.
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