- Commonwealth of Pennsylvania (PA)
- …made recommendations for resolution or corrective actions. + B. I have experience monitoring and evaluating HEALTHCARE FACILITY workloads, staffing, and volume ... the "Level of Performance" which best describes your claim. + A. I have experience writing LONG-TERM CARE related audit reports relevant to parties to answer… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Bachelors degree required; Master's degree preferred. + 2 years of relevant healthcare experience working with clinical teams and/or patients. + Experience ... Serves as a consultant to routinely discuss, implement and audit best practices for improving patient experience ....Advises on content for patient-facing communications to improve patient experience . + Works with manager to formulate… more
- Elevance Health (Roanoke, VA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a ... ** Manager DRG Coding Validation ( Manager Program...make an impact:** + Sets the strategic direction for audit methodologies, oversees team development, and ensures that audits… more
- Molina Healthcare (Meridian, ID)
- …Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing … more
- Molina Healthcare (Layton, UT)
- …knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment ... + Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act...confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for… more
- Molina Healthcare (Warren, MI)
- …Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in ... the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and… more
- Ventura County (Ventura, CA)
- …THE IDEAL CANDIDATE: The ideal candidate will have a strong background in healthcare compliance, auditing, or privacy, with direct experience in a hospital, ... can typically be obtained by: Level I: One (1) year of professional experience in healthcare privacy compliance, auditing, or a closely related regulatory… more
- V2X (Reston, VA)
- …and professionalism. Responsibilities + What You'll Do: + The Senior Manager , Corporate Accounting oversees the financial reporting and accounting functions within ... data, and providing strategic financial guidance to senior management. The Senior Manager , Corporate Accounting plays a key role in the financial decision-making… more
- University of Washington (Seattle, WA)
- … experience in academic program management, graduate medical education, healthcare administration, or similar field. _Equivalent education/ experience will ... + Strong commitment to equity, diversity, and inclusion in academic and healthcare training programs. + Experience coordinating with faculty leadership and… more
- Jostens (Minneapolis, MN)
- SENIOR MANAGER , GOVERNANCE, RISK & COMPLIANCE (GRC) HYBRID POSITION | ONSITE THREE DAYS A WEEK AT JOSTENS' CORPORATE OFFICE (BLOOMINGTON, MN) ABOUT YOU: As the ... Senior Manager , Governance, Risk & Compliance (GRC), you will lead...communication. You'll collaborate cross-functionally with teams in IT, Legal, Audit , and business units to reduce risk, strengthen security… more