ABOUT CONCERTO HEALTH
ConcertoHealth Inc. is the leading provider of specialized primary care and supporting clinical services for complex, frail, elderly, and dual-eligible patients. Operating exclusively in value-based agreements, ConcertoHealth provides high-touch, individualized care for patients, and deploys wraparound clinical resources to extend the reach of primary care practices. This comprehensive medical management solution, elevated by Concerto’s proprietary population health technology, improves overall healthcare quality and patient outcomes, benefitting payers and their provider networks.
Concerto delivers comprehensive care to Medicare, Medicaid, and complex-needs patients. The Concerto name reflects our unique approach to healthcare. It’s about how we work in concert with patients, providers, and health plans. Our approach focuses on bringing harmony across the spectrum of a patient’s care, health, and dignity.
The company is headquartered in Aliso Viejo, Ca. For more information, please visit: www.concertohealth.com
This position is responsible for the composition of written coverage determination letters that meet Medicare Rules or other UM guidelines, requirements of delegating health plan clients, and NCQA UM Accreditation standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES