…Conduct quality audits and review final recommendations provided by Utilization Management nurses and review reconsiderations submitted by Utilization Management

…Responsible for assisting Members in navigating the healthcare system by finding and following up by phone and in person with hard-to-reach Members, helping Members

…Audit internal systems and controls to ensure the claims system is set up correctly and claims are processed in accordance with contractual and regulatory

…*Your background & experience:* * Friendly and helpful team members * Operations experience is a plus * Some high school * Food Handler certification may be required

…As an MPAC Healthcare Nurse Practitioner, you will be a leading member of a multidisciplinary clinical team treating patients exclusively at a designated facility. In