EmblemHealth · New York, NY · $56160 - $99360 per hour
Summary of Position
Perform audits and/or provide oversight and guidance to Claim Auditors in completing comprehensive random audits of claims, membership and service inquiry adjustment transactions.
Determine the root causes of error and recommend appropriate corrective actions to prevent re-occurrence of these errors.
Support cross-functional Business Transformation initiatives with quantitative transactional analyses and sample a
