
51 - 200 employees
Founded 1983
⚕️ Healthcare Insurance
🧬 Biotechnology
Healthcare Insurance • Consulting • Biotechnology
Constellation Quality Health is a consulting firm that specializes in improving system performance within the healthcare sector. They focus on delivering patient-centered, cost-effective care through expertise in behavioral health, chronic disease management, fraud prevention, and quality improvement. By aggregating and analyzing data, Constellation helps healthcare organizations identify gaps and risks in care delivery, ensuring optimal healthcare outcomes and financial stability for their clients.
🔥 9 minutes ago
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51 - 200 employees
Founded 1983
⚕️ Healthcare Insurance
🧬 Biotechnology
Healthcare Insurance • Consulting • Biotechnology
Constellation Quality Health is a consulting firm that specializes in improving system performance within the healthcare sector. They focus on delivering patient-centered, cost-effective care through expertise in behavioral health, chronic disease management, fraud prevention, and quality improvement. By aggregating and analyzing data, Constellation helps healthcare organizations identify gaps and risks in care delivery, ensuring optimal healthcare outcomes and financial stability for their clients.
• Conduct detailed reviews of clinical records to determine appropriateness of treatment, timelines and fact chronology, determination of reasonable and necessary treatment modality, causation, and medical necessity. • Assess consistency between diagnosis, procedures, and clinical documentation. • Document expert opinion of clinical findings, assessment of care, and utilization of practice standards in a professionally written, formal summary report. • Respond to and/or attend hearings as required which may include some travel.
• Licensed Dentist (DDS or DMD) in good standing • Minimum 3-5 years of experience in performing expert clinical review of treatment records including review of radiographs, procedure reports, treatment notes, and other records in support of causation • Demonstrated ability to communicate complex clinical information to diverse audiences. • Strong written, verbal, visual, and interpersonal communication skills. • Experience developing formal, professionally written reports which may be used during litigation. • Ability to manage multiple projects simultaneously and meet deadlines in a fast-paced environment. • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams, and SharePoint) for documentation, reporting, data management, and administrative functions.
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