- Guidehouse (Minneapolis, MN)
- …**Travel Required** **:** None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the direction of the Director ... hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position include: + Responsible...level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and… more
- Abbott (New York, NY)
- …mothers, female executives, and scientists. **The Opportunity** + This position is remote . + Qualified candidates **must** currently live in the New York ... + Understand and follow the Quality System through accurate and timely documentation of complaint resolution. + Understand and practice regulatory and compliance… more
- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... of department interventions + Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or deliverables +… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Specialist , Account Installation II is responsible for the installation of more complex assigned accounts into core ... and reporting standards. + Researching errors by comparing Account Management documentation against multiple internal systems. Reconciling reports and group set up… more
- Optiv (Overland Park, KS)
- The Client Operations Specialist - Strategic Renewals is a sales support role assisting the Strategic Client Directors with management of their recurring renewal ... & touch-point meetings. + Facilitate the completion of client requested documentation , including RFPs, supplier forms, and other nonstandard documents + Collaborate… more
- Trinity Health (Columbus, OH)
- …analysis, audit, provider relations and more. **About the job:** Provider Service Specialist responds in a timely and accurate manner to provider inquiries made ... software applications, within required Plan timeframes and according to Plan documentation policies + Review, investigate and advise providers regarding claims… more
- Sharecare (Atlanta, GA)
- …everyone. To learn more, visit www.sharecare.com . **Job Summary:** The ROI Support Specialist aids the medical records line of business in triaging flagged requests ... to comply with required laws or company standards, obtaining additional documentation , and expediting delivery of high priority requests. **Essential Functions: **… more
- Cordis (Irvine, CA)
- …that address unmet and critical medical needs. **Responsibilities** The **Field Specialist , Clinical Research** position that provides case support to physicians ... issues + Administrative activities including evaluating metrics, data entry into trackers, documentation of activities and site feedback to SELUTION study teams +… more
- aptihealth (Buffalo, NY)
- …treatment recommendations. Next, you will pair patients with a Licensed Behavioral Health Specialist who are best qualified to meet the patients' needs. You will use ... detailed record of patient assessment and ensure compliance with relevant intake documentation and regulations + Assess and screen patients for any potential crisis… more
- Molina Healthcare (Clarksville, TX)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and risk ... connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities. * Develops, organizes, analyzes,… more