- Evolent (Helena, MT)
- …coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support team members, ... members, providing feedback and direction as appropriate. + Responsible for ongoing performance management of assigned direct reports. + Serves as a key member of… more
- NHS Management, LLC (Irondale, AL)
- …and patient information + Assist in resolution of denied third party insurance claims , eg PDPs, Medicaid, etc. + Locate medication from pharmacy supply area, count ... plan(s) of improvement as indicated, recommended and/or required by Supervisor, Director , or any other corporate or regulatory compliance consultant. Communicates… more
- Hensel Phelps (El Paso, TX)
- …commercial construction projects. + Associate Safety Professional (ASP) or Safety Management Specialist (SMS) designation preferred. + Valid Driver's License. + ... Assist project team with safety start-up, program development, implementation, and management . Assist projects with pre-job planning, start-up and identification and… more
- JPMorgan Chase (Wilmington, DE)
- …external events, including catering and transportation + Process invoices and travel expense claims for team members. Ensure all policies are followed and items are ... + At least five years of administrative experience, ideally supporting at the Executive Director level (or equivalent) or above + Advanced ability to organize + Tact… more
- Highmark Health (Wexford, PA)
- …regulatory agency requirements **ESSENTIAL RESPONSIBILITIES** + Reviews pharmacy utilization management (UM) coverage requests and prepares such cases for clinical ... review by a pharmacist and/or medical director when required. (20%) + Within the context of...all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and… more
- Caris Life Sciences (Irving, TX)
- …impact begins.** **Position Summary** Under the direction of the Sr. Director , Compliance, this position assists with the development, implementation and continuous ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. * Strong writing skills, especially in… more
- Access Dubuque (Dubuque, IA)
- …our clients; including: comprehensive nursing services, resource consulting, safety and loss control management , and claims management . **Work with us, not ... in a career at Kunkel & Associates. Primary Contact 13337 Kim Budde Director of Human Resources, HR ### Phone Phone Phone Fax [email protected] Email True… more
- Access Dubuque (Dubuque, IA)
- …our clients; including: comprehensive nursing services, resource consulting, safety and loss control management , and claims management . **Work with us, not ... * Company Overview Video (https://youtu.be/SRE6ogpTVj0) Primary Contact 13337 Kim Budde Director of Human Resources, HR ### Phone Phone Phone Fax… more
- CareFirst (Baltimore, MD)
- …analyst with deep experience in risk adjustment. This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment KPIs, ... Platforms with experience delivering production projects at scale. + Strong project management skills and ability to manage multiple and diverse stakeholders and… more
- NHS Management, LLC (Northport, AL)
- …orders and patient informationAssist in resolution of denied third party insurance claims , eg PDPs, Medicaid, etc.Locate medication from pharmacy supply area, count ... plan(s) of improvement as indicated, recommended and/or required by Supervisor, Director , or any other corporate or regulatory compliance consultant. Communicates… more