Sr Consultant Medical Ops

Location: Remote
Compensation: Salary
Staff Reviewed: Wed, May 08, 2024
This job expires in: 11 days

Job Summary

A company is looking for a Sr. Consultant in Medical Ops for a remote position.

Key Responsibilities:
  • Review and adjudicate DMEPOS appeal cases
  • Provide written clinical rationales for DMEPOS cases
  • Monitor timeliness of reviews to ensure standards are met

Required Qualifications:
  • Current unrestricted LPN/RN nursing license
  • 2+ years of experience in medical review for DMEPOS categories within Medicare
  • 2+ years of leadership experience
  • Experience at MAC, ZPIC/UPIC, RAC, SMRC or QIC preferred
  • Bachelor's degree with 5-7 years of consulting experience

COMPLETE JOB DESCRIPTION

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