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Maryland Licensed Jurisdictional Advisor

Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025

Job Description:

A company is looking for a Jurisdictional Advisor.
Key Responsibilities

Lead the Jurisdictional Review Process for eligibility determinations in the Federal Independent Dispute Resolution program
Collaborate with IDR leadership and engineering teams to enhance tools and workflows for dispute resolution
Maintain regulatory compliance with the No Surprises Act and optimize workflow processes for efficiency and accuracy

Required Qualifications, Training, and Education

Bachelor's degree in a health-related field, with experience or coursework in healthcare and/or biological sciences
Medical coding certification is preferred
Proven experience in healthcare eligibility, medical necessity, or revenue integrity management
Knowledge of the No Surprises Act and CMS regulations
Experience leading regulatory staff teams and optimizing operational workflows

Keywords: VirtualVocations, Rancho Cucamonga , Maryland Licensed Jurisdictional Advisor, Other , Vista, California

Click here to apply!

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