Dallas, TX, USA | Lockton
Industry:Insurance - General
Job Description:53 people have viewed this job
Provide clinical expertise in the evaluation of client healthcare treatment data using state-of-the-art clinical data analysis tools.
Make recommendations to improve cost-effective care and quality outcomes through the evaluation of treatment information.
Evaluate disease and medical management programs globally and at the individual client level.
Evaluate and make recommendations to clients on opportunities to enhance client wellness programs, disease management programs and medical management programs to meet their unique needs.
Collaborate with Lockton’s internal teams to continually improve the value of products and services delivered to our clients
Support clinical consultants via case reviews, interactions with administrator clinical teams, requests for documentation, and provision of general clinical and medical trend information
Board Certified or Board Eligible MD or DO
Minimum 2 Years’ experience in an academic or clinical setting
Solid knowledge of CPT and ICD-10 coding
Strong communication and presentation skills
Ability to work collaboratively with all levels of an organization
Proven track record for managing multiple competing priorities
Proficiency in Microsoft Office applications
Experience in clinical analytics
Knowledge of the Managed Care industry and claims payment practices preferred Legal right to work in the United States
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