- The Cigna Group (Bloomfield, CT)
- …License** **Evernorth Behavioral Health** **Job Title: Case Management Lead Analyst (Licensed Telephonic Counselor)** **ROLE SUMMARY:** **A great opportunity to ... needs + Provide appropriate referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated… more
- 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...Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
- Kids First (Queens, NY)
- Rbt Queens, NY Part Time Clinical Services Experienced Share (https://kidsfirstservices.applytojob.com/app/share/Znj5OYLZ45) Company Overview At Kids First, we're on ... to our clients. Join our team as a Behavior Analyst and be a part of shaping a brighter...and assessments. Additionally, you will support parent training and clinical evaluations, promoting ethical conduct and compliance with Kids… more
- Little City Foundation (Palatine, IL)
- …include your Cover Letter and Resume. BASE SALARY: $ 27/HR Under the clinical supervision of Behavior Therapist Coordinator and/or a Board Certified Behavior ... Analyst (BCBA) and administrative supervision of a Home Manager...Life outcomes. This includes knowledge and implementation of youths clinical , educational, vocational, and daily living skills objectives. Thorough… more
- Providence (Everett, WA)
- …Center Everett received the Health Grades Distinguished Hospital Award for Clinical Excellence four years in a row._ **Required Qualifications:** + Washington ... Certified Behavior Technician License upon hire, Or Washington Behavioral Analyst License upon hire **Preferred Qualifications:** + Coursework/Training: At least 40… more
- Fairview Health Services (Minneapolis, MN)
- …development, and execution of data transformation into actionable information. The Analyst will create and maintain state-of-the-art information assets using but not ... throughout the organization. This role will report to leadership within the Clinical , Quality and Population Health Analytics Center of Expertise, with a dotted… more
- Beth Israel Lahey Health (Burlington, MA)
- …Leadership. * Analyze reimbursement to insure accurate payments * Work with clinical leadership as needed to coordinate client accounts and services. * Responds ... and maintains effective working relationships with Lahey revenue cycle, clinical departments and administrative leadership in regards to the...team with LHMC. * Works closely with Revenue Cycle Analyst team to optimize the use of Epic and… more
- Alameda Health System (Alameda, CA)
- …SNF, and transportation; and referring personal payment issues to the Financial Analyst as soon as possible to minimize reimbursement. Obtains appropriate signatures ... completing or not completing additional MDS assessments based on clinical criteria as identified in the most recent version...the RAI Process, Case-Mix, PPS Medicare, Medicaid, and the clinical computer system in relation to these processes. 8.… more
- Aerotek (Hanover, MD)
- …of the Claims Review Specialist, Return to Work Specialist and Compliance Analyst . Will be responsible for identifying loss trends and creating processes to ... claims team in the oversight of the TPA _Licenses and Certifications_ + Non Clinical \ARM - Associate in Risk Management Designation preferred Or + Non Clinical… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... MINIMUM REQUIREMENTS: LICENSE: A valid and active license as a Licensed Clinical Social Worker issued by the California Department of Consumer Affairs, Board… more