- CVS Health (Austin, TX)
- …Support complex provider partners with HEDIS(R) gaps in care, digital solutions, and remote medical record collection discussions and education + Work closely ... in clinical, managed care or quality management + Understanding of CPT/CPTII/ICD9/ICD10 coding and medical terminology **Education** + Bachelor's Degree OR… more
- Humana (Nashville, TN)
- …with Providers in our Gulf South Region. We are looking for a dynamic healthcare professional who can drive network performance with a focus on interoperability, MRA ... coding and closing gaps in care. This is a...Health Records (EHR), Health Information Systems (HIS), or other healthcare IT systems. + Six Sigma Certification also a… more
- NTT DATA North America (Raleigh, NC)
- …Operations Analytics Manager** to join our team **for a temp to hire, remote role in North Carolina.** **Position Summary:** **Seeking a Manager, Data and ... and quality of life of all North Carolinians by strengthening community-based healthcare delivery systems. The ideal candidate brings strong expertise in data… more
- Humana (Des Moines, IA)
- …R&D efforts to advance innovative, high-impact, and ethically-grounded AI solutions in healthcare . + Design and implement processes, tools, and frameworks for the ... best practices, including code versioning, testing, documentation, and secure coding standards + Extensive hands-on experience developing and deploying Generative… more
- J&J Family of Companies (Titusville, NJ)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,...House, PA ; San Diego, CA or Cambridge, MA. Remote work considered on a case by case basis… more
- CenterWell (Tallahassee, FL)
- …Business Administration + Bilingual English/Spanish + Knowledge of ICD 10 and CPT coding + Referral experience + Medical Assistant or Professional State ... related to healthcare **Additional Information** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- University of Michigan (Ann Arbor, MI)
- …(HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for both the inpatient and outpatient populations. ... They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain… more
- Humana (Frankfort, KY)
- …develop and grow positive, long-term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance within ... reimbursement. + Comprehensive knowledge of claims systems, adjudication, submission processes, coding , and/or dispute resolution. **Work at Home Requirements** + At… more
- Catholic Health Initiatives (Oakes, ND)
- …about healthcare regulations. + Continuous Learning: Stay updated on medical advancements and participate in ongoing education and training. Imagine this: **Your ... of all ages - children to geriatrics + Emergency Room consults, triage and medical care + Round, admit and manage health needs of patients with a significant… more
- CenterWell (Phoenix, AZ)
- …motivate and provide medical direction in pursuit of cost effective, quality healthcare . + Plan, organize, manage and supervise the roles of the Center ... manage and supervise health care services offered in the medical centers. Work in conjunction with the Center ...HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging… more