- Nuvance Health (Poughkeepsie, NY)
- …and education regarding correct charge capture and billing processes to multiple clinical departments and facilities 5. Supports Practice Management through ... Excel and PowerPoint . Strong analytic aptitude . Excellent project management skills . Possesses strong interpersonal communication and presentation skills,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …events through planning, scheduling, material production, coordination and execution.; Project Management + Support project delivery and execution. + Support change ... management activities for projects. ; Process Improvements + Assist.... This position will require an individual with strong clinical understanding. ;No license is required, however must understand… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Supports complex, high- risk application/systems in assigned area(s). * Provides technical expertise and oversight ... long term in assigned area. * Monitors activities to ensure coordination and management of projects and work assignments meet established dates and timelines. *… more
- Centene Corporation (Jefferson City, MO)
- …and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk adjustment for government sponsored ... insights to reduce overall cost of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including healthcare… more
- Nuvance Health (Danbury, CT)
- …activities, testing, priority setting and resolution. c. Adheres to Change Management Policies. d. Maintains system documentation relevant to system design, ... * Bachelor's degree in health related field or Computer Science, Management Information Systems, Industrial Technology, Business Administration, or a related field… more
- Trinity Health (Livonia, MI)
- …merges, manual routing of imaging studies, system performance monitoring, storage queue management , etc.). + Schedules and performs structured and ad hoc training of ... systems and technologies and take proactive steps to mitigate this risk . + Proven high-level competence with hands-on troubleshooting and problem remediation… more
- Geisinger (Danville, PA)
- …protocol applications, reviewing amendments, continuing reviews, determining the level of risk and appropriate review process to ensure compliance with regulatory ... and Human Services Common Rule, Food and Drug Administration, Good Clinical Practices, International Conference on Harmonization, Health Insurance Portability and… more
- Billings Clinic (Billings, MT)
- …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Risk and Claims Specialist RISK ... for providing administrative, secretarial, and database support for the Risk Management and Patient Relations Department and...and/or the Risk and Claims Coordinator and Risk and Claims Analyst . Works closely with… more
- Peak Vista (Colorado Springs, CO)
- …Job Summary: Under the direction of the Manager of Compliance and Risk Management , the Compliance/ Risk Coordinator provides support to ... evaluation of Peak Vista Community Health Centers' ("PVCHC") Corporate Compliance and Risk Management Programs. The Compliance/ Risk Coordinator is… more
- Corewell Health (Grand Rapids, MI)
- … Adjustment Analytics team and supporting the goals and objectives of the risk adjustment department through leading all data management , analysis and reporting. ... program, including reporting KPIs on a weekly/monthly/quarterly/annual basis. Maintains Risk Adjustment performance management reporting and dashboards.… more
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