Consultant II Ideation & Analytics DRG

About This Gig

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. This role is initially to build and implement an effective DRG audit program. This position is responsible for setting up the audit program using program framework to develop rules to identify the claims for audit, create review guidelines and train the audit teams. Additional responsibilities include identifying and building concepts by reviewing CMS guidelines, policies and client specific criteria Job title: Consultant II Ideation & Analytics DRG Job Description: Education: Bachelor’s degree in Science /Pharmacy/Nursing Experience: 5+ ye

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