- Commonwealth Care Alliance (Boston, MA)
- …on edits implemented. + Utilize data to examine large claims data sets to provide analysis and reports on existing provider billing patterns as compared to ... Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements… more
- Kelly Services (Irvine, CA)
- …SOR 98-282, Japan's MHLW MO 169, EU MDR 2017/745 * Lead Auditor certification from an accredited / recognized organization (preferred) * Project management ... documented on the observation responses. * May be lead auditor of auditors' team, technical experts, trainee auditors, and/or...the Kelly Talent Community. Why Kelly (R) Science & Clinical ? Kelly Science & Clinical is your… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- Medical Mutual of Ohio (OH)
- …oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, ... (CAHPS) and Health Outcomes Survey (HOS). Supports data capture and reporting of clinical quality of care received by members. Works closely with the Quality team… more
- Deschutes County (Bend, OR)
- …Services, which ensures DCHS has the facilities, resources, and support necessary to provide the highest quality of service to clients, customers, and the community ... the region. Our dedicated and passionate workforce of more than 1,250 employees provide County services in a number of departments, divisions, and offices. Located… more
- Dignity Health (Bakersfield, CA)
- …and delegation management. Will act as a liaison between the contracted provider groups in the delegation management process; to include problem-solving issues for ... findings. This will include close collaboration with various departments within the DHMSO to provide the CAP response in a timely manner to the health plan. - Will… more
- Banner Health (WY)
- …Ensure all documentation is accurate, secure, and compliant. Collaborate with clinical teams to optimize patient flow and satisfaction. Use multi-system technology ... to accurately complete daily work list. This may include working with the ordering provider and/or payer to fully clear a patient's account prior to the date of… more
- Omnicell (St. Petersburg, FL)
- …engaging PowerPoint presentations. + **Assist with EHS at other Manufacturing sites:** Provide support and expertise in Environmental, Health, and Safety (EHS) to ... regulations, standards, and best practices. + ISO 14001/ISO 45001 Certified Internal Auditor **Work Conditions** + Work at Omnicell's St. Petersburg facility, this… more
- Cardinal Health (Honolulu, HI)
- …CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, ... clinical laboratories, physician offices and patients in the home....operator of nuclear pharmacies and manufacturing facilities; and a provider of performance and data solutions. Working to be… more
- Banner Health (Brush, CO)
- …to accurately complete daily work list. This may include working with the ordering provider and/or payer to fully clear a patient's account prior to the date of ... for procedure. Responds to diverse questions and/or refers to appropriate clinical staff as situationally appropriate. 5. Demonstrates a thorough understanding of… more