Support Central Care Management Operations: Provides PA support and clinical oversight to all programs managed through Care Management Operations: Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient authorization clinical escalations. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial management and compliance with governmental regulations and conditions of participation and commercial insurance contracts.