JOB DESCRIPTION OVERVIEW:
The Arbitration Strategy & Payer Audits Supervisor (Supervisor) will oversee the work of others in the arbitration strategy department and work collaboratively with our federal and state arbitration teams on analysis, reporting, quality and preparation and modification of documents. This role also requires the validation, evaluating and trending of substantial amounts of data for presentation and requires strong coding background for the review of payer audit findings and appropriate response to the payer. The Supervisor will assume tasks, duties and responsibilities as assigned by the Director of Health Plan Claim Reviews and Audits. The Supervisor will participate in a wide variety of tasks and will be instrumental in motivating the team.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
JOB REQUIREMENTS
SUPERVISORY RESPONSIBILITIES:
PHYSICAL / ENVIRONMENTAL DEMANDS: