This role leads a team of clinical quality auditors and reviewers, monitors adherence to clinical criteria and contractual requirements, evaluates interrater reliability, identifies trends, and drives improvement initiatives that support appropriate, evidence-based determinations and a positive provider and member experience. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.