Liberty Healthcare Corporation · 2 weeks ago
Utilization Reviewer � developmental disabilities services
MD - Salisbury
Full-time
Hybrid
Mid Level
$55K/yr - $55K/yr
3+ years expLiberty Healthcare Corporation is seeking a Utilization Reviewer to support their initiative in enhancing service delivery for individuals with intellectual and developmental disabilities. The role involves conducting audits, reviewing Medicaid claims, and analyzing services provided against contracted levels.
Health CareHospitalMedical
Responsibilities
Conducting audits of services provided to people with developmental disabilities
Heavy database usage
Reviewing and analyzing Medicaid claims
Analyzing actual services provided against contracted service levels and hours
Conducting in-person and phone/video interviews of individuals served as well as their caregivers
Writing summary reports
Qualification
Required
Bachelor's degree
Solid computer skills
Three or more years of experience in human services
Experience supporting people who are living with developmental disabilities
Experience in service coordination
Experience in case management
Experience in utilization review
Experience in prior authorizations
Experience in claims reviews
Experience in healthcare billing
Experience analyzing healthcare or human services data
Preferred
Familiarity with the State of Maryland's Developmental Disabilities Administration
Familiarity with Home and Community Based Services
Benefits
30 days of paid time off annually
Health insurance and other perks
Reimbursement for approved work-related mileage
Company
Liberty Healthcare Corporation
Liberty Healthcare Corporation provides population health management, health workforce outsourcing and program mangement services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
John Guda
Chief Technology Officer / Chief Information Officer
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