• Sr. Compliance Auditor

    Ochsner Health (New Orleans, LA)
    …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... Required - Certification as CPC, CCS, CHC, RHIA, RHIT, RN , or LPN or other related certification. **Knowledge Skills...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland,… more
    Ochsner Health (08/08/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (St. Petersburg, FL)
    …member and provider outreach. + Serves as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap, ... to national, regional and plan meetings. + Demonstrates ability to lead and influence cross-functional teams that oversee implementation of quality projects.… more
    Molina Healthcare (08/21/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (NE)
    …continuous improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. This ... pacific time zone. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
    Molina Healthcare (07/31/25)
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  • Pre-Service Rep - OLG Sleep Lab - Full Time

    Ochsner Health (Lafayette, LA)
    …Works with the clinical providers , on- site case management team, as well as LPN/ RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service ... has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland,… more
    Ochsner Health (08/20/25)
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