- US Tech Solutions (Columbia, SC)
- …, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper ... **Duration: 3+** Months (Possible contract to hire) **Job Description:** + Onsite training...and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative… more
- KBR (Fort Bragg, NC)
- …criteria-based job descriptions and performance standards. + Assist the HP program Manager and/or Coordinator in developing and maintaining clinical practice ... for the Preservation of the Force and Family (POTFF) contract to optimize and sustain Special Operations Forces (SOF)...mandatory command training requirements + Collect and report all data as requested by the HP program Manager… more
- Bristol Myers Squibb (Madison, NJ)
- …BP modeling of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics + ... Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in connection with matrix team's financial reporting… more
- HCA Healthcare (Denver, CO)
- …Operations and Finance with HealthONE Colorado Care Partners, you can be a manager in an organization that is devoted to giving! **Benefits** HealthONE Colorado Care ... care providers across the Denver market. Oversees the following: . All data analytics and supports value-based payer contracting activity . Payer relations and… more
- STG International (Pottsville, PA)
- …clinical services by implementing and facilitating non-traditional encounters. *Analyze data to meet Veteran Administration (VA) clinical performance ... Care Program. The Medical Director will also collaborate with the CBOC Clinic Manager to supervise the CBOC's day-to-day delivery of medical care. The Medical… more
- Datavant (Pierre, SD)
- Datavant is a data platform company and the world's leader in...Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week ... health data exchange. Our vision is that every healthcare decision...+ Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding… more
- Fairview Health Services (Minneapolis, MN)
- …services financial performance across the delivery system through financial reporting, data analysis financial planning, contract proposal evaluations, claims ... payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst extracts and validates data from various information… more
- RxBenefits (Charlotte, NC)
- …on our modeling. + Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate ... correct and released. Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in… more
- Covenant Health Inc. (Knoxville, TN)
- …the baseline and periodic compliance audits and compliance programs as deemed appropriate by manager . + Works with contract management personnel in the review of ... Performs other duties as needed. Reports to the Revenue Integrity Manager . Recruiter: Suzie McGuinn || ###@covhlth.com Responsibilities Integrity + Identifies and… more
- OhioHealth (Columbus, OH)
- …Research Institute (OHRI) will manage the full life cycle of clinical trial budgets and contracts performing specialized technical fiscal activities, financial ... management and reporting for research clinical trials and research projects conducted at OhioHealth. Activities include a variety of complex and varied fiscal… more