Manager, Cost Containment

Virginia Premier – Glen Allen, VA

Develop strategies for make-buy decisions for auditing payment methodologies such as subrogation, NCCI, and various payment groupers such as APC, AP-DRG, MS-DRG, and EAPG. Develop in-depth understanding of all claim systems that impact payments. The responsible candidate will ensure federal and state contractual expectations are maintained for each line of business as it relates to claim payment...

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