- Elevance Health (Roanoke, VA)
- …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
- Elevance Health (Los Angeles, CA)
- …you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary ... 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
- Elevance Health (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 ... healthcare 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
- OhioHealth (Columbus, OH)
- …team to engage cross functional resources (Service Desk, Field Services, Infrastructure, Application Support, Clinical Informatics, Vendors) and tracks the case ... Support: Respond to escalated technical support requests, collaborate with Service Management, Clinical Informatics, Level 2, and 3 IT teams to resolve issues.… more
- Air National Guard Units (Fairchild AFB, WA)
- …system. Such experience may have been gained as an administrative officer, management analyst , or administrative or clinical program manager or supervisor in a ... vacancies. *Ensure you read this announcement in its entirety, complete all application requirements, and your USA Jobs profile name is accurate* Responsibilities A… more
- Little City Foundation (Palatine, IL)
- …Position Type Full Time Description HOW TO APPLY: Complete this Online Application ,please visit our website for this & other positions www.littlecity.org/careers/ & ... include your Cover Letter and Resume. BASE SALARY: $ 27/HR Under the clinical supervision of Behavior Therapist Coordinator and/or a Board Certified Behavior … 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...and medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims' processing policies, coding principals… 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 ... oversight of the TPA _Licenses and Certifications_ + Non Clinical \ARM - Associate in Risk Management Designation preferred Or...such as the modification or adjustment of the job application process or interviewing process due to a disability,… more
- Actalent (Madison, WI)
- …+ Coordinate across internal and external stakeholders, including discussions with regulators for clinical or pre- clinical studies. + Travel up to 10% for ... and analysis software. + Familiarity with LIMS, Nautilus, and Analyst software. + Knowledge of ICH or 28BMV regulatory...Workplace Type This is a hybrid position in Madison,WI. Application Deadline This position is anticipated to close on… more
- Johns Hopkins University (Baltimore, MD)
- …leadership team, the Director will work closely with the Vice Dean for Clinical Investigation, the Associate Dean for Human Research Protections and Director of the ... the OHSR Operations staff including the Training Manager, Senior Systems Administrator and Budget Analyst . + Work with JH IT and RES leadership on the evaluation of… more
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