• Utilization Review Nurse

    Martin's Point Health Care (Portland, ME)
    …the review of medical claims disputes, records, and authorizations for billing, coding , and other compliance or reimbursement related issues + Collaborates ... use effective relationship management, coordination of services, resource management, education , patient advocacy and related interventions to ensure members receive… more
    Martin's Point Health Care (05/21/25)
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  • LTSS Vendor Liaison

    Fallon Health (Worcester, MA)
    …Health authorization process is an essential function of Fallon Health's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements ... enters authorizations into Fallon Health systems in a timely manner to ensure compliance with CMS timeframes for all appropriate Fallon Health products - escalates… more
    Fallon Health (05/20/25)
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  • Information Assurance System Security Engineer…

    General Dynamics Information Technology (Manassas, VA)
    …+ Prior performance in roles such as ISSO, ISSM, SCA, or SAP IT Technical Director + 2+ years SAP experience **required** ** Education ** + Master's degree in a ... system/security engineering principles, secure design, secure architecture, and secure coding techniques. This position's main function is working within Special… more
    General Dynamics Information Technology (05/14/25)
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  • Pathologist

    Catholic Health Initiatives (Omaha, NE)
    …patient records. + Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + ... Implement changes to enhance patient care and safety. + Compliance : + Adhere to ethical and legal standards in...in Clinical Pathology with ability to serve as Laboratory Director . Additional responsibilities include education of residents,… more
    Catholic Health Initiatives (05/08/25)
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  • Family Medicine Physician

    Catholic Health Initiatives (Turtle Lake, ND)
    …records. + Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. Diagnostic Procedures: + Order ... + Implement changes to enhance patient care and safety. Compliance : + Adhere to ethical and legal standards in...advancements and best practices. + Participate in ongoing medical education and training. + Contribute to the development of… more
    Catholic Health Initiatives (04/11/25)
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  • Clinical Specialist/RPSGT - Sleep Center

    Fairview Health Services (Brooklyn Park, MN)
    …under the direction of the Sleep Center Manager and, Sleep Center Medical Director . Coordination of Service Operations * Supports the mission of the organization and ... Exhibits working knowledge of billing and third-party regulations, reimbursement, and coding * Ordering supplies, maintaining proper inventory to perform quality… more
    Fairview Health Services (05/29/25)
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  • Orofacial Pain Specialist (part time)

    Lake Erie College of Osteopathic Medicine (Bradenton, FL)
    …program entry; + Knowledge of Patient Relations and Scheduling; + Knowledge of ADA Coding ; + Compliance with State and Federal Regulations and Safety Protocols, ... City: Bradenton State: FL Country: United States of America Category: Education Employment Status: Part-time Description JOB SUMMARY: The Orofacial Pain Specialist… more
    Lake Erie College of Osteopathic Medicine (05/21/25)
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  • Management Analyst II - School Finance Consultant

    State of Maine, Bureau of Human Resources (Augusta, ME)
    …uses of State & Federal funds. + Assists in special projects on assignment of the Director of School Finance & Compliance in the areas of school finance and ... Analyst II - School Finance Consultant Augusta , Maine , United States | Education | Full-time | Partially remote Apply by: June 13, 2025 Apply with Linkedin… more
    State of Maine, Bureau of Human Resources (05/31/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …conditions thatconsist of: intensive assessment/evaluation of condition, at risk education based on members' identified needs, provides member-centered coaching ... determinations. Identifies and makes referrals to appropriate staff (Medical Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals,… more
    US Tech Solutions (05/16/25)
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  • Senior Treasury Analyst

    Bassett Healthcare (NY)
    …within the Bassett Healthcare Network under the general supervision of the Director of Treasury Operations and Cash Management, by reporting, processing and ... for supporting banking relationships, service requests and problem resolution, compliance , fraud mitigation, bank portal, corporate card and merchant processing… more
    Bassett Healthcare (05/30/25)
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