Job Description
Are you ready to POWER UP your skills? Take the leap and join Concentrix's League of TOP-NOTCH TALENTS! Prepare for an Extra-Ordinary Journey where you not only Collaborate with Industry Champions but also immerse yourself in an Innovative Workplace filled with Laughter, Continuous Learning, and Limitless Opportunities. Join the Leading Global Provider of CX and Tech Services and seize this moment to #JoinConcentrix!
Job Summary: Collaborate with Healthcare Provider(s) and Member(s) to Promote Quality Member Outcome(s), to Optimize Member Benefit(s), and to Promote the Effective Use of Resource(s). You will help Ensure that Medically Appropriate, High Quality, and Cost-Effective Care is Provided through Assessing the Medical Necessity of In-Patient Admission(s), Outpatient Service(s), Focused Surgical and Diagnostic Procedure(s), Out of Network Service(s), and Appropriateness of Treatment Setting by Utilizing Applic...