Clinical Denials Auditor

Oversee day-to-day production and quality for a team specializing in utilization management and clinical denials/appeals. Prepare daily operational reports, deliver QA feedback, monitor performance using key productivity and accuracy metrics, and escalate issues to leadership. Collaborate with Operations, Training, and HR to streamline onboarding and participate in client calibration calls, audits, and process reviews—while mentoring staff and maintaining QA records.