- CareFirst (Baltimore, MD)
- …**PURPOSE:** In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise medical policies and operating ... Director, revise evidenced-based medical policies and operating procedures in compliance with legislative mandates, contractual provisions, corporate philosophy, and… more
- Cummins Inc. (GA)
- **DESCRIPTION** We are looking for a talented Principal Technical Analyst - Customer Identity & Access Management to join our team specializing in ... with instrumentation and measurement to meet buildability, business, and compliance requirements. + **Functional Fit Analysis:** Decompose systems into component… more
- Insight Global (Mount Laurel, NJ)
- …o Background in internal audit within healthcare o Familiarity with billing and coding compliance * Bachelor's Degree in Accounting, Finance, or Healthcare * ... workflow issues, monitor Epic workqueues, review medical records for compliance , and document findings thoroughly. Additional responsibilities include running… more
- CVS Health (Augusta, ME)
- …data to provide insights into configuration management metrics, trends, and compliance issues. + Applies in-depth knowledge of configuration management tools and ... ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience 3-5 years + Working… more
- Corewell Health (Royal Oak, MI)
- …follow-up. + Documents dates of changes in department operations including coding /staging systems. + Contributes to development of criteria to assess accuracy ... improvement by contributing to cancer program goals, and monitoring database for compliance with Standards of Care. + Oversight of coordination and maintenance of… more
- Empire State University (NY)
- …Description: Empire State University is currently seeking a Director of IT Compliance and Digital Accessibility in the Office of Integrated Technologies. The ... in designing, implementing, and continuously improving the university's IT compliance program, including oversight of regulatory adherence, risk management, and… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... all of the required certification OR willing to get certified within 1 year of employment - + ...programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics +… more
- Guthrie (Sayre, PA)
- …I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of ... equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years experience in… more
- Capital One (Richmond, VA)
- …in a quantitative major (Finance, Accounting, Economics, Mathematics, Engineering) + Certified Treasury Professional or Chartered Financial Analyst (CFA) license ... Associate, Card External Planning & Analysis We're seeking a Senior Financial Analyst to act as a thought-leader, analytical partner, and insight creator within… more
- Capital One (Mclean, VA)
- …of experience using coding languages (Python) to automate workflow + Certified Financial Analyst designation or Financial Risk Management designation or ... Balance Sheet Management group is seeking a motivated professional for a Senior Analyst role on the Interest Rate Risk Management (IRR) Analytics team. The role… more
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