- Commonwealth Care Alliance (Boston, MA)
- …Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and ... clinical coding and reimbursement edits and necessary coding configuration...savings based on provider billing trends + Liaison between business partners and vendors; bringing and interpreting business… more
- Wolters Kluwer (Denver, CO)
- …and customer success functions + Understanding of SaaS products and their application in business + Working with marketing enterprise software solutions ... landscape, customer needs, and develop go-to-market plans that differentiate Clinical Effectiveness (CE) products from the competition while reinforcing customer… more
- HCA Healthcare (Nashville, TN)
- …demands a deep understanding of data architecture, analytics methodologies, and business strategy. You will be responsible for analyzing and interpreting complex ... support strategic initiatives. Working closely with cross-functional teams, including business stakeholders, data scientists, engineers, and product managers, you… more
- Gilead Sciences, Inc. (Foster City, CA)
- …of Q&A materials and travel to conferences + Conduct peer and competitive analysis of clinical pipelines and business models + Innovate and evolve IR program but ... an impactful investor engagement program, including investor conferences, non-deal roadshows, analyst days, annual meeting, on-site meetings and other events +… more
- Arkansas Children's (Springdale, AR)
- …when Manager is not present. Supervisor Nursing Unit maintains continuity for clinical , administrative, and human resource activities. Assists and serves as an ... Certifications:** **Description** 1. Demonstrates a competent level of understanding and application of the AC Model of Patient and Family-Centered care. Care… more
- Arkansas Children's (Springdale, AR)
- …and team's clinical expertise. Leads in the search for and appropriate application of evidence to guide clinical practice. 7. Exemplifies, supports and ... Demonstrates and leads advancement of practices which promote the application of the AC Model of Patient and Family-Centered...12. Assists in leading AC team to engage in clinical networking and community organizations which promote health and… more
- University of Washington (Seattle, WA)
- …implementation, evaluation, training, and maintenance or equivalent experience. + Knowledge of business systems analyst duties and key contributor in both ... Collect and manage resident milestone evaluations, generate reports for the Clinical Competency Committee (CCC), and ensure appropriate documentation of resident… more
- Elevance Health (Winston Salem, NC)
- …but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality ... in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer...that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the… more
- Arkansas Children's (Little Rock, AR)
- …**Recommended Certifications:** **Description** 1. Demonstrates and promotes excellence in the application of the AC Model of Patient and Family-Centered care. ... and outcomes, evaluates complex variations and patterns in patient care data for clinical implications. Develops, maintains, and promotes active use of the plan of… more
- Fairview Health Services (Minneapolis, MN)
- …to deliver trusted and timely information assets to Fairview's operational and business divisions. The PAC has the required subject matter expertise to guide, ... development, and execution of data transformation into actionable information. The Analyst will create and maintain state-of-the-art information assets using but not… more