- CVS Health (Hartford, CT)
- …with heart, each and every day. **Position Summary** The **Provider Data Services Specialist ** will do proactive outreach to a sample of provider offices to confirm ... of the outreach will be captured in a QuickBase application for submission to compliance , network, and Medicaid business partners. The data will be used to quantify… more
- CareFirst (Baltimore, MD)
- …file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards. ... verification and/or appropriate actions. **Licenses/Certifications** : Certified Provider Credentialing Specialist (CPCS) Preferred Salary Range: $38,520 - $70,620 **Salary… more
- Molina Healthcare (Cambridge, MA)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Meeting coordination and direction + Experience working with… more
- Insight Global (San Diego, CA)
- Job Description The Income Desk Specialist plays a critical role in supporting the underwriting process by reviewing and analyzing borrower income documentation to ... ensure accuracy and compliance with investor and regulatory guidelines. This position requires strong attention to detail, analytical skills, and a solid… more
- Trinity Health (Livonia, MI)
- …Legal Department requirements. Adheres to established regulations and ensures compliance for processes, procedures, plans and systems. Maintains confidentiality of ... through an Associate's Degree and four (4) years of experience in an HR specialist or customer support role in a high volume work environment or an equivalent… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... departmental policies and procedures, in collaboration with appeals leadership and Compliance . + Identify, develops, and provides staff education/training related to… more
- Henry Ford Health System (Grand Blanc, MI)
- …assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local, State and Federal coding ... NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), standards of compliance , and clinical knowledge to accurately abstract information from the… more
- Organon & Co. (Plymouth Meeting, PA)
- …professional to join our team as the MedTech Billing & Coding Contract Specialist . This role is essential in developing and implementing strategies that support ... the development of contracting strategies to optimize financial performance and compliance . Strong understanding of CMS rules, stark law, anti-kickbacks in medical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** We are seeking a skilled **Information Security Specialist ** to join our cybersecurity team. This role will be responsible for implementing, ... Python, Java). + Working knowledge of security frameworks and compliance requirements. + Excellent problem-solving, communication, and documentation skills. +… more
- Cordis (Irvine, CA)
- …that address unmet and critical medical needs. **Responsibilities** The **Field Specialist , Clinical Research** position that provides case support to physicians ... follow up visits at each assigned site to ensure site protocol compliance , image upload and readability and quality data collection Prioritize regular communication… more