• Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …and identifies actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with leaders in ... plans. The consultants are in-house subject matter experts on coding accuracy and Quality programs such as including HEDIS...Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Acts as a resource to staff members. + Provides back-up for Supervisor/ Manager , whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Senior Solutions Architect - (Digital / Banking)

    BMO Financial Group (Naperville, IL)
    …applications **Not Looking For:** + Hard-core developers for Java or .Net application coding + DBA, Data modellers + Project or Program Manager + ... help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we'll help you gain valuable experience,… more
    BMO Financial Group (10/29/25)
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  • Agency For Health Care Administrator-SES

    MyFlorida (Tallahassee, FL)
    …in coordinating clinical and claim system changes with the pharmacy benefit manager , including approval of coding changes for preferred/non-preferred products; ... - Two years of experience working with a Medicaid health plan or Pharmacy Benefits Manager (PBM). - Preference will be given to candidates who have licensure as a… more
    MyFlorida (10/24/25)
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  • Accountant III - Credit

    Port of Seattle (Seattle, WA)
    …credits and receipts. + You will prepare maintenance worksheets with proper coding and supporting document for supervisor/ manager 's approval. You will also ... + You will clearly communicate all necessary background information to manager , and Information Communication & Technology (ICT) for further investigation of… more
    Port of Seattle (10/22/25)
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  • Authorization Specialist Ortho/Spine Office

    Trinity Health (Syracuse, NY)
    …analyzes, and interprets complex medical information, applying specific knowledge of coding requirements and conventions to correctly classify, code and abstract ... denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist, Accredited Record Technician (or eligible), Registered Record… more
    Trinity Health (10/21/25)
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  • Entry Level Computer Engineer

    CACI International (Crane, IN)
    …will be responsible for software rigor and will support the Program Manager and Senior Engineers on the organization, direction, coordination, planning and execution ... and operational concepts. Develop and maintain algorithms, software models, and coding guidelines for current and future system development. Provide technical input… more
    CACI International (10/02/25)
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  • Senior Allegro Technical Consultant

    EPAM Systems (Houston, TX)
    …ever-growing Allegro practice. Technical consultants are responsible for designing, coding , testing and implementing product customization and interfaces while ... **Responsibilities** + Collaborate with and take guidance from the project manager or principal consultant on work assignments + Participate in, contribute… more
    EPAM Systems (08/21/25)
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  • Clinical Registrar

    Kadlec (Richland, WA)
    **Description** Under the general direction of the Trauma Program Manager , performs a variety of duties essential to maintaining the Trauma Registry as mandated by ... Responsible for coordinating the daily operations of the Trauma Registry by coding and abstracting the clinical and demographic data from patient records. The… more
    Kadlec (10/30/25)
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  • Clinical Provider Auditor II (CPC)

    Elevance Health (Tampa, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/30/25)
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