- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …teamwork, and communication skills. Job Summary Leads the Quality and Risk Management Team through Process Improvement initiatives at the hospital. The Director ... of data required for monitoring quality indicators. + Identifies and assesses quality management problems and refers to staff for action. + Serves as a resource… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …senior Navy and DoD leadership liaison operations, providing facilities management . + Analyze and coordinate the schedule, timeline, procurement, staffing, ... of a product or service. + Applies government-instituted processes for documentation, change control management and data management . + Lead and guide the work of… more
- Boehringer Ingelheim (Ridgefield, CT)
- …to support key business decisions. Expert in descriptive analytics methodologies, data management , reporting (AI capabilities is a plus). This individual will have a ... reporting data structures, reporting designs, create implementation and change management plans, ensure quality and deliver standardized analytics and reports.… more
- MyFlorida (Fort Lauderdale, FL)
- …work environment. This position is located in the Bureau of Medicaid Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's ... determining managed care compliance with the SMMC contract as it relates to claims processing. Examples of work include: Analyzes programmatic reports of claims … more
- AdventHealth (Maitland, FL)
- …Collects, analyzes, and reports data for insights into denials management operations and special prevention projects. Communicates and presents insights ... and recommendations to the denials management committee on prevention activities. Coordinates material and provides updates for key denials prevention program… more
- CareFirst (Baltimore, MD)
- …setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business ... configurations, workflow and process mapping in Guiding Care for core care management and clinical appeals workflows. + Assesses how proposed configuration … more
- Centene Corporation (Honolulu, HI)
- …Hawaii **Position Purpose:** Manage the daily operations of all provider data management functions. Direct provider data management related activities based on ... provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display + Investigate and resolve complex… more
- Robert Half Office Team (Portland, OR)
- Description We are looking for a dedicated Risk Management Coordinator to join our team in Wilsonville, Oregon. In this role, you will oversee risk management ... measures. * Collaborate with injured workers and manage workers' compensation claims in compliance with regulations. * Develop and implement safety training… more
- City of New York (New York, NY)
- …and communities. Under the supervision of the Senior Director of the Grants Management & Revenue (GMR), The Director, with latitude for the exercise of independent ... financial documentation to support revenue plans; preparing and submitting revenue claims ; preparing financial reports to various New York State departments, the… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead is seeking a Management Analyst for a newly awarded contract in Patuxent River, MD. The Management Analyst will be the senior expert and ... measurement studies, and prepare operations and procedures manuals to assist management in operating more efficiently and effectively. + Includes program analysts… more
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