- Norstella (Salt Lake City, UT)
- …relational databases, ensuring data accuracy and quality. * Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** * Lead the delivery of complex… more
- Chenega Corporation (Rockville, MD)
- …to the clients Rockville, MD location. + Professional Background: Relevant experience in claims review, healthcare administration, or related fields. + A minimum ... a busy and complex workplace environment. + Must have experience supporting healthcare related case management and/or claims management program knowledge,… more
- Waystar (Louisville, KY)
- …reports, and assessing strengths and weaknesses of competitors + Studying healthcare industry standards and staying up-to-date on industry changes and compliance ... and the provider reimbursement process, obtained either through direct experience in a healthcare setting or an RCM focused HIT company + Provided leadership on a… more
- R1 RCM (Boise, ID)
- …collaboration. **It's** **a plus if you bring:** + Experience with healthcare operations/RCM (FHIR/HL7, claims , denials) and/orregulated industries with ... R1 is thrilled to introduce R37 committed to transforming healthcare financial performance, so providers can focus on delivering exceptional care. R37 is pioneering… more
- Humana (Helena, MT)
- …provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS and ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Humana (Juneau, AK)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- AdventHealth (Riverview, FL)
- …expertise and experiences you'll need to succeed:** Associate degree in business or healthcare related field 3 years clinical experience in healthcare related ... field Registered Nurse (RN) This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and ... general caregivers with the guidance and plans they need for healthy living. Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the… more
- Hartford HealthCare (Farmington, CT)
- …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and ... Work where*every moment*matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every… more
- Queen's Health System (Honolulu, HI)
- …population health, and patient safety initiatives. * Works with a multiple sources of healthcare data, ie, claims , financial and clinical data, to meet both ... QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in healthcare , epidemiology, statistics, computer science or related field. B.… more