- Integra Partners (Troy, MI)
- …adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary ... UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director ) with administrative and non-clinical tasks related to processing Utilization… more
- The County of Los Angeles (Los Angeles, CA)
- …investigations, analyses, and special studies of the more difficult and complex problems, plans, and programs involved in disaster/emergency preparedness. Essential ... based on regional and statewide documents. Supports the Los Angeles County EMS Director in planning and response to local, regional, State, and national emergencies.… more
- University of Utah Health (Salt Lake City, UT)
- …on billing related issues. + Researches and resolves high volume accounts, complex or escalated suspended claims , and compliance issues using appropriate ... support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders.… more
- University of Michigan (Ann Arbor, MI)
- …RESPONSIBILITES** + Gathering and integrating data from disparate sources (ie Cost and claims or clinical data in the electronic health record) in support of revenue ... grouping logic + Strong analytical skills, with the ability to perform complex analysis, identify gaps and opportunities, and make recommendations based on… more
- JDA Partners Technical Services Group LLC (New York, NY)
- …City office. This is an onsite position reporting directly to the Director of Technology and supporting all local technology operations including hardware, software, ... + Coordinate with third-party vendors as needed for escalations or warranty claims . + Support both macOS and Windows devices, including imaging, updates,… more
- Henry Ford Health System (Detroit, MI)
- …analysis, and prevention of events which may injure patients, lead to malpractice claims , and cause loss to the health care system. The QRS II collaborates ... leads root cause analysis (RCA) investigative team; in collaboration with director , prepares RCA for presentation to leadership. + Facilitates or co-facilitates… more
- Albany Medical Center (Albany, NY)
- …for the laboratory in collaboration with the Laboratory Supervisor and Director (s). This individual performs technical related duties, including the performance of ... of tests and procedures 4. Interpret laboratory information for healthcare providers. Effectively communicate implications and/or applications of test methodologies.… more
- CVS Health (Woonsocket, RI)
- …**Position Summary** As a Payer Relations Account Executive, you support a Payer Relations Director (PRD) in managing one of the largest and most complex PBM ... retention, clinical program partnerships, specialty network contracting, and other claims -processing operational efficiencies. This individual may also have responsibility… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, ... billing through data-driven audits and targeted monitoring. This role conducts complex , risk-based audits across coding, charge capture, and documentation to assess… more
- Experian (AR)
- …We help to redefine lending practices, uncover and prevent fraud, simplify healthcare , create marketing solutions, and gain deeper insights into the automotive ... We operate across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments. We invest in… more