The role involves conducting comprehensive clinical investigations into potential external fraud and abuse involving commercial and government lines of business
Job Summary
The role involves conducting comprehensive clinical investigations into potential external fraud and abuse involving commercial and government lines of business.
Candidates must utilize prescription and medical claim data to generate clinical recommendations according to Global Drug Utilization Review program protocols.
The position offers a competitive salary range of $85,356 to $145,107 along with comprehensive benefits including medical, dental, vision, and 401K matching.
Matching Summary
The role involves conducting comprehensive clinical investigations into potential external fraud and abuse involving commercial and government lines of business.