- Elevance Health (Chicago, IL)
- …leads, Benefits Administration, Provider Engagement and Contracting, Sales and Internal Audit . + Hires, trains coaches, counsels, and evaluates performance of direct ... Proven experience leading Claims Operations teams and strategy within a large healthcare payor environment strongly preferred. + Proven track record leading Digital… more
- Waystar (Atlanta, GA)
- …YOU'LL NEED** * Have a minimum of 10 years' experience as a security analyst/incident manager * Have a minimum of 20 years' experience in technology * Have a minimum ... * Have worked in a regulated environment, specifically within the Financial or Healthcare sectors * Bachelor's degree in related field or equivalent work experience… more
- The Cigna Group (Denver, CO)
- **Pharmacy Clinical Consulting Advisor** **Internal Job Title - Clinical Account Manager (CAM)** **Area of Operation - Colorado, Utah, Pacific Northwest** As part of ... align to Cigna's overall value proposition of lowering total healthcare costs. + Act as Pharmacy Sales support for...that may arise. + Provide executive support for pricing, audit , and contract questions, as requested by internal partners… more
- Sanofi Group (Swiftwater, PA)
- …QV **Location:** Swiftwater, PA **About the Job** We deliver 4.3 billion healthcare solutions to people every year, thanks to the flawless planning and ... perspective. Specific role and task to be determined by manager , in accordance with candidate's area of study and...manufacturing space(s) on site. We are an innovative global healthcare company with one purpose: to chase the miracles… more
- Fair Haven Community Health Care (New Haven, CT)
- …patient access and service, optimizing workflows, and ensuring compliance with healthcare regulations. Duties and responsibilities + Reporting to the Practice ... Manager , the Patient Access Supervisor is tasked with achieving...daily operations including patient registration, scheduling, and insurance verification. Monitor/ audit processes for accuracy, implement best practices, and oversee… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...notes in the system on a timely basis for audit review. Handling a high volume of outgoing collections… more
- Humana (Springfield, IL)
- …and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical ... health and substance use disorders (SUD) using evidence‐based tools (eg, AUDIT ‐C, PHQ‐9 and GAD‐7), performs diagnostic assessments, provide counseling and prescribe… more
- Compass Group, North America (Toledo, OH)
- …largest employers of Dietitians in a variety of settings: + Hospitals and healthcare systems + Senior living communities + Schools and universities + Corporate ... paths The company has earned significant recognition, including being named one of _Modern Healthcare 's_ **"Top** 100 Best Places to Work in Healthcare " for five… more
- Medical Mutual of Ohio (OH)
- …of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and ... strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all… more
- Hoffman Construction Company (Boise, ID)
- …project accounting and document control departments and will report to the site Accounting Manager . This position will be full time, physically located 5 days a week ... Elation Systems to ensure timely reporting. Compliance Monitoring & Enforcement + Audit payrolls to confirm correct classifications, wage rates, and fringe benefit… more