- UnityPoint Health (Dubuque, IA)
- …support compliance with Det Norske Veritas (DNV), Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs), Occupational Safety and ... Director of Quality, Chief Nursing Officer and the UnityPoint Health system service leaders. Provides leadership for regional efforts to assure compliance to… more
- Hartford HealthCare (Norwich, CT)
- …match * Clinical specialty opportunities *_About our EMS Network:_* American Ambulance Service , Inc, is a subsidiary of the Hartford HealthCare EMS Network, a ... Ambulance provides a full range of emergent and non-emergent medical transportation services by highly trained professionals to ensure safe, quick, and compassionate… more
- City of New York (New York, NY)
- …everyone, regardless of age, background, or location, can achieve their optimal health. We provide a wide array of programs and services focused on food and ... Health Systems and the Bureau of Finance, Administration, and Services . The division's Deputy Commissioner also serves as the...DUTIES WILL INCLUDE BUT NOT BE LIMITED TO: - Lead the creation and implementation of a dynamic, interdisciplinary… more
- Mohawk Valley Health System (Utica, NY)
- …+ Perform concurrent review and escalation of cases not meeting criteria. + Provide guidance and advisory services to physicians, case managers and clinical ... payer types) and reimbursement models in decision making and reviews. + Provide peer-to-peer payor review in collaboration with attending physicians. + Support… more
- LA Care Health Plan (Los Angeles, CA)
- …Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's ... the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles...for the various risk adjustment models (Health and Human Services / Hierarchical Condition Codes (HHS/HCC), Center for MediCare and… more
- Centene Corporation (Nashville, TN)
- …for executing business transformation across the enterprise. Hire, train, coach, mentor, provide feedback, conduct annual reviews, and all matters required by HR. ... Provide oversight and guidance to team members in order...business improvement and transformation, and organizational change management. + Lead a cross functional team in the execution of… more
- Elevance Health (Wallingford, CT)
- …acquiring new clients and generating opportunities for the behavioral health services that Carelon offers as high-value solutions for clients. **Location:** Field: ... the selling cycle. + Builds and leverages C-suite level relationships to provide innovative solutions to complex business problems in the home health/post-acute care… more
- Waystar (Lehi, UT)
- …Manager (CSM) must effectively deliver and advise on best practice workflow and provide proactive service that measurably simplify and unify our clients' revenue ... for improvement) to assist in driving product strategy + Lead and/or participate in status calls at a defined...and conduct data analysis to identify root cause + Provide ongoing training and development + Manage daily activity… more
- Molina Healthcare (Owensboro, KY)
- …with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of ... oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs… more
- Waystar (Louisville, KY)
- …and customer service skills. + Ability to mentor others and lead by example. + Detail-oriented with strong documentation and organizational abilities. + ... complex end-user support requests, mentoring junior technicians, and ensuring high-quality service delivery. While not directly responsible for Tier 2/3 resolution,… more