Licensed Provider Risk Manager
Company: VirtualVocations
Location: Sacramento
Posted on: February 21, 2025
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Job Description:
A company is looking for a Manager, Provider Risk
Management.
Key Responsibilities
Manage and grow a team of clinicians, CPCs, and operations
analysts
Evaluate and improve coding and billing policies for compliance
with regulations
Develop processes for managing Fraud, Waste, and Abuse within the
organization
Required Qualifications
5+ years of clinical operations/administration experience in
behavioral health
At least 2 years of experience in clinical supervision or team
management
Licensed behavioral health clinician or certified expert
coder/auditor (CPC, CPMA)
Experience collaborating with cross-functional teams, including
Legal and Compliance
Demonstrated passion for improving provider performance measurement
and resolution
Keywords: VirtualVocations, Sacramento , Licensed Provider Risk Manager, Executive , Sacramento, California
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