General Description. . J29 is a healthcare management company with significant experience providing clinical, policy, and administrative review and analysis of some of the nations most complex healthcare programs. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates. Our team brings corporate performance that stretches to various areas of the Department of Health and Human Services, such as the ...
General Description. . J29 is a healthcare management company with significant experience providing clinical, policy, and administrative review and analysis of some of the nations most complex healthcare programs. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates. Our team brings corporate performance that stretches to various areas of the Department of Health and Human Services, such as the ...
Overview. . J29, Inc. has been supporting commercial, State, and Federal health and human service programs since company inception in 2017. Our team of 160 employees focuses on providing claim, policy, and clinical analysis on the end-to-end of medical cases, claims, disputes, appeals, and audits. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requiremen...
General Description. . J29 is a healthcare management company with significant experience providing clinical, policy, and administrative review and analysis of some of the nations most complex healthcare programs. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates. Our team brings corporate performance that stretches to various areas of the Department of Health and Human Services, such as the ...
Position Purpose. Performs complex (journey-level) work. Provides dissatisfied beneficiaries and/or providers the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Essential Responsibili...
Position Purpose. . Medical Reviewer II performs complex (senior-level) work. Provides dissatisfied patients/beneficiaries and/or providers the opportunity to present documentation to demonstrate why an appeal/dispute should be allowed. Provides an independent second level determination/dispute resolution based on the documentation, facts, laws, regulations, and guidelines. Works under general supervision, with moderate latitude for the use of in...
