RAC Compliance & Denials Manager

Prime Healthcare, a major health system, seeks a RAC Manager to handle data/documentation requests from government audits and manage the appeals process. You will serve as SME for the appeals process and coordinate with RAC team, Corporate Utilization Review and Clinical appeals team.

Responsibilities include supervising Medicare and Medicaid Appeals, analyzing denial trends, and implementing improvements. Strong communication and interpersonal skills are essential in a collaborative healthcare