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Medical Services Consultant-Nurse - Anchorage AK
Company: ACS inc
Location: Anchorage, AK
Posted On: 10/30/2009
Affiliated Computer Services, Inc. (ACS) is expertise in action™. We are a FORTUNE 500 company with 70,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients. Our employees operate with integrity, and are flexible, reliable and responsive. If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.PURPOSE OF POSITION:The SUR Nurse Analyst is responsible for researching provider activity to detect fraud, abuse, and waste.RESPONSIBILITIES:1. Reviews and assess utilization patterns of healthcare providers.2. Performs quarterly retrospective review on identified Medicaid providers.3. Performs and/or monitors provider recoupment activities as required.4. Performs medical record reviews as directed.5. Evaluates and validates the SUR reports.6. Reads and interprets data and makes recommendations based on analysis.7. Assists with provider education through teleconference and written communication.8. Attends internal and external meetings as directed.9. Ability to exercise discretion and independent judgment.10. Performs other duties as assigned.Education and Typical Years ExperienceRegistered Nurse with a minimum of three years general nursing experience Bachelor’s degree in health or human services field including but not limited to: Nursing, Social Work, Sociology, Special Education, Rehabilitation Counseling, or PsychologyAll other duties as assigned.ACS is an Equal Opportunity Employer and does not Discriminate against any applicant on the basis of race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with ACS may request such accommodations by calling or by sending an e-mail to accommodations@acs-.df-lj More...
Experience
Education and Typical Years ExperienceRegistered Nurse with a minimum of three years general nursing experience Bachelor’s degree in health or human services field including but not limited to: Nursing, Social Work, Sociology, Special Education, Rehabilitation Counseling, or PsychologyAll other duties as assigned
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