- Excellus BlueCross BlueShield (Rochester, NY)
- …of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of ... substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and… more
- Humana (Sacramento, CA)
- …the health and well-being of our members including: + A strong understanding of clinical metrics and data (eg Quality measures, Risk Adjustment ratings, chronic ... the clinical steward for regional medical expense trends, leveraging data to guide interventions, and ensure fiscal accountability. + Collaborate with finance,… more
- University of Virginia (Charlottesville, VA)
- …Kovatchev, Ph.D., a world-renowned researcher in the field of diabetes technology and data science. The Center's Associate Director for Research is Professor ... Division and Center faculty will provide mentoring for an assistant or associate physician-scientist, leaning toward independence in translational, clinical , or… more
- CenterWell (Dallas, TX)
- …The Manager is also responsible for building strong partnerships with clinical -operational market leaders on Care Integration Team foundational program and strategic ... with travel requirements to preferred healthcare facilities in the community, alongside clinical market leader, to develop clinical partnerships for timely… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... an experienced and detail-oriented manager to lead our large-scale, full-service Clinical Microbiology Laboratory. The candidate should have an in-depth scientific… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …Health Program Manager is a leadership position responsible for overseeing the clinical and administrative operations of the inpatient mental health unit at the ... highly professional care that significantly impacts Veterans' healthcare. Provides direct clinical services to veterans with mental health care needs. Manages key… more
- University of Washington (Seattle, WA)
- …faculty, and is known for outstanding research, teaching and patient care. Our clinical work spans 9 outpatient clinics at HMC and UWMC, across neighborhood clinics ... GIM is the largest division in the Department of Medicine and includes both clinical and research functions with a total annual budget of over $110m. Faculty and… more
- University of Colorado (Aurora, CO)
- …email distributions and memos. + Maintain the calendar for the Senior Associate Dean by scheduling meetings, prioritizing requests, and coordinating with other ... submitting expense reimbursements in accordance with policies. + Represent the Senior Associate Dean in a professional manner through in-person, phone, and written… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …knowledge to pre- service and retrospective reviews by gathering relevant and comprehensive clinical data through multiple sources. * Leverages clinical ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built...policies. * Accountable for timely and comprehensive review of clinical data with concise documentation, decisions and… more
- Banfield Pet Hospital (Poland, OH)
- …years clinical experience required. + 1-3 years coaching and developing associate doctors required. + Meets all required clinical competencies. BENEFITS Here ... and ensure the highest quality of veterinary care, exceptional client service, associate engagement and maximum productivity of the veterinary medical team. This… more