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Clinical Rules Management Director

Company: VirtualVocations
Location: Vista
Posted on: May 16, 2025

Job Description:

A company is looking for an Associate Director, Clinical Rules Management.
Key Responsibilities

Collaborate with clinical staff to develop and implement systems that improve patient outcomes
Conduct regular system audits to ensure data accuracy and quality
Lead the evaluation of clinical processes and facilitate process redesign in collaboration with clinical teams

Required Qualifications, Training, and Education

Bachelor's degree with 7-10 years of relevant work experience
Experience in managing small to mid-sized teams
Good understanding of specialty benefit management business
Knowledge of ICD-10-CM and CPT coding assignments
Project management skills to handle multiple time-sensitive tasks

Keywords: VirtualVocations, South Whittier , Clinical Rules Management Director, Executive , Vista, California

Click here to apply!

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