- Molina Healthcare (Boise, ID)
- …contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, ... authorizations, fee schedules, and other business requirements + Proficient in claims software and audit tools not limited to QNXT, PEGA, NetworX pricer, Webstrat,… more
- Sharp HealthCare (San Diego, CA)
- …meet the goals of Radiation Oncology where and when needed within the Sharp HealthCare system. This position may require travel to other Sharp HealthCare ... and ancillary equipment.Provides troubleshooting for problems with hardware and software regarding radiation therapy equipment.Provide input on equipment requirements… more
- Molina Healthcare (GA)
- …operational activities for the assigned team, including accurate and timely implementation and maintenance of critical information on claims databases. Validate data ... + Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. + Ability… more
- Molina Healthcare (Columbia, SC)
- …8:00AM to 5:00PM EST. - No weekends or Holiday **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... **KNOWLEDGE/SKILLS/ABILITIES** + Utilizes a collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote members'… more
- NTT DATA North America (Louisville, KY)
- …longer term business value. + Can possess specialized knowledge of Software Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) ... of Demonstrated experience in technical product selection, technical design and practical implementation of IT solutions + 4+ years working knowledge of Oracle and… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …this hospital consists of 144 acute psychiatric inpatient beds. Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater ... lead facilitator of the patient treatment plan and continuously monitors the implementation of active treatment with assigned patients. The Clinician II MA… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …this hospital consists of 144 acute psychiatric inpatient beds. Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater ... facilitator of the patient treatment plan and continuously monitor the implementation of active treatment with assigned patients. The Licensed Inpatient Clinician… more
- Molina Healthcare (Cleveland, OH)
- …of product ownership of clinical applications including design, development, implementation , and oversight of technology that drives core utilization management, ... written and verbal communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse (RN).… more
- Bassett Healthcare (Cooperstown, NY)
- …and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers (PBMs), and ... the annual HRSA recertification is completed. + Provides oversight for the implementation of process improvement initiatives and creates an environment that places… more
- Molina Healthcare (Seattle, WA)
- …and governance. **KNOWLEDGE/SKILLS/ABILITIES** + Experience with Edifecs/JavaScript/SQL + Develops software (hands on code development) to meet key business ... Degree in relevant field **Required Experience** + 3+ years of hands-on technical implementation experience in mid to large IT Enterprise environments. + 5-6 years… more
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