Job Description
Position Type: Solutions
Location: Blue Bell, PA (Onsite)
Job Description
We are looking to hire a senior Software Engineers to support CCCR (Cross Claim Clinical Review) as an innovative approach to inpatient clinical reviews, currently available through our Retrospective CCV program. This initiative will extend CCCR to prepay and expand into outpatient and professional claim review as part of PPM to CV. Physician claims are submitted before hospital claims approximately 60% of the time. This enables capturing 60% of retrospective CCCR savings prepayment, accelerating revenue realization and reducing costs. The remaining 40% of savings will continue to be recovered through retrospective CCCR-CCV.