The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. Responsible for identification of patterns, trends, and opportunities for CDI staff to improve accuracy and outcomes. Provides education to CDI team members and physicians, if needed and assists with denial management.

The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. Reviews claims, requests additional information, and initiates claim investigations. Maintains production and quality standards and participates in training.

Avalere is seeking a Consultant I to join our Healthcare Policy practice. This position offers an exciting opportunity to contribute to shaping and analyzing healthcare policy and delivering actionable insights that drive our clients’ business and advocacy priorities. We are seeking a policy professional who loves to generate creative solutions to complex problems.

Lead population health and business intelligence functions to improve performance across key areas, focusing on patient outcomes, documentation, quality improvements, and patient retention. Develop a strategic view of population health opportunities and drive actionable operations in collaboration with cross-functional teams.

Responsible for training and educating sales and clinical specialist teams in the field of cardiac ablation. Plays an integral role educating a key group of the organization, as the OU enters multiple new market segments and expands its portfolio with advanced technologies. Influences the design of new indication and product launch education plans based on business strategy.

Play a pivotal role in facilitating access to potentially life-saving treatments for patients worldwide. As the main point of contact for healthcare professionals seeking access to treatment under expanded access for their patients, you will guide HCPs through the entire EAP process, offering support at all steps.

As a Senior Consultant, work closely with consulting project leads and clients to make healthcare better, more affordable and accessible for Tribal Communities and support Indigenous Pact’s mission to promote Health Equity for Tribes. Play a key role in researching, developing and presenting healthcare solutions, delivering impactful results.