NCI: As a Medical Review Specialist III (Medical Reviewer III) for AdvanceMed, an NCI Company, you will perform Medicaid/CHIP comprehensive medical record and claims review to make payment determinations. Perform projects or duties as assigned by the Senior or Lead Medical Review Specialist. You will serve as a critical component in meeting our mission of providing excellent services to our clients. Your experience ensures an exciting and rewarding opportunity to be at the forefront of activities related to implementing healthcare reform on a national level. In assuming this position, you will be a critical contributor to meeting NCI's mission: To deliver innovative, cost-effective solutions and services that enable our customers to rapidly adapt to dynamic environments.
HIGHLIGHTS OF RESPONSIBILITIES:
PREFERRED EDUCATION AND EXPERIENCE: