- Elevance Health (Hanover, MD)
- **Carelon Medical Coding/Auditing Manager - Behavioral Health ** **Supports Payment Integrity & Behavioral Health ** **Location: Must be located in Maryland.** ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,...Manager ** is responsible for ensuring the accuracy of claims payment through the management of a robust process… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Risk Management office for BID-P including all phases of actual and potential claims management. Identifies exposures to loss and analyzes the impact on the ... disclosure of an event when indicated. + The Risk Manager will lead Root Cause Analyses, Failure Mode Effects...with malpractice, hospital litigation and depositions. + Refers lawsuits, claims and potential claims to CRICO, the… more
- Jet Health (Englewood, CO)
- Business Office Manager - Home Health Englewood, CO (http://maps.google.com/maps?q=945+W+Kenyon+Ave+Englewood+CO+USA+80110) Job Type Full-time Description Klarus ... coordinates systems and procedures with medical records, data entry, claims review, and personnel functions to ensure efficient operations....of; 4 years of experience as a Business Office Manager in a home health /hospice agency. +… more
- Mount Sinai Health System (New York, NY)
- …the forefront of implementing Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play ... **Job Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees… more
- Elevance Health (Shasta, CA)
- **Behavioral Health Provider Quality Manager ** **Candidates must posses a licensure for the state of California.** **Location: The ideal candidate will reside in ... and insightful analytics to improve the delivery of care. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement,… more
- Oak Orchard Health (Brockport, NY)
- Revenue Cycle Manager Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) Job Type Full-time Description Do you want to be part of a ... where professionals come together to improve access to quality health care for all? At Oak Orchard Health...billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports,… more
- Sharp HealthCare (San Diego, CA)
- …manager will coordinate all care, negotiate service arrangements as directed by the Health Services Manager , and ensure that all caregivers and vendors are ... client adhering to program guidelines.Participate with the approval of Manager of Health Services in the planning...Claims Review and Care Management services for Sharp Health Plan members who are identified as having complex… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...-8pm as needed to meet business needs. The Care Manager BH coordinates all case management activities with members… more
- Florida Crystals Corporation (Baltimore, MD)
- …brands Domino(R), C&H(R), Redpath(R), Tate & Lyle(R), Lyle's(R) and Sidul(R). OVERVIEW The Health & Safety Manager is responsible in an oversight capacity for ... maximize overall efficiency and effectiveness of the safety and health efforts. The position of Safety Manager ...Party Administrator (TPA), to review and monitor workers' compensation claims costs and develop plans to minimize active … more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible… more