• Risk Adjustment Analyst, Health Plans

    University of Utah Health (Murray, UT)
    …plan's risk adjustment program. + This role is responsible for analyzing medical claims, encounter, and risk adjustment targeting data to identify opportunities for ... department, senior leadership, and provider level. + RAD-V audit experience and medical record review. + Advanced SQL skills for large healthcare database querying.… more
    University of Utah Health (08/13/25)
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  • Registered Nurse RN - Manager - Cardiology

    Trinity Health (Ann Arbor, MI)
    …area for productivity and adjust as needed. + Works closely with the medical directors and executive director to maintain a high-quality cost-effective programs ... performance, productivity, activity and budget. + Work with Executive Director of Michigan Heart to evaluates FTE needs in...assigned areas. + Implements measures to ensure compliance with Medicare , Federal Wage & Hour, OSHA and other regulations… more
    Trinity Health (08/13/25)
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  • Manager of Business & Regulatory Affairs - Heart…

    Beth Israel Lahey Health (Boston, MA)
    …programs. **Job Description:** **Primary Responsibilities:** 1. Works with the Heart Transplant Director and Medical and Surgical Directors to develop business ... Collaborates with BIDMC Finance to capture and report organ acquisition expenses on Medicare Cost Report including mgmt of time studies. Liaisons with managed care… more
    Beth Israel Lahey Health (08/08/25)
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  • Mental Health Therapist

    University of Rochester (Rochester, NY)
    …health counseling) to identify high-risk patients with behavioral health and medical comorbidities, and facilitates access to other specialty psychiatric and ... therapy accordingly. - Meets minimum target for clinical productivity set by service director and Division. - Documents treatment in patient's electronic medical more
    University of Rochester (08/07/25)
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  • Reviewer-Orthopedic Disease Specific Care

    The Joint Commission (Oakbrook Terrace, IL)
    …appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director , the Standards ... periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with… more
    The Joint Commission (08/02/25)
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  • Paramedic - 911 & Critical Care Transport…

    Marshfield Clinic (Rice Lake, WI)
    …The Critical Care Transport - Paramedic works under the direction of the medical director and supervision of transport management is responsible for providing ... Registered Nurse (RN) works under the direction of the medical director and supervision of transport management...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
    Marshfield Clinic (07/24/25)
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  • RN Case Mgr

    HCA Healthcare (Fort Pierce, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
    HCA Healthcare (07/14/25)
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  • Lead Case Manager

    HCA Healthcare (Ocala, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
    HCA Healthcare (07/13/25)
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  • Psychologist I - Forensic Evaluator - Statewide…

    State of Colorado (Denver, CO)
    …Name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference check, Professional License verification (licensure requirement), ... Board or request a review by the State Personnel Director . An appeal or review must be submitted on...Contribution Plan www.copera.org plus 401(k) and 457 plans + Medical and dental health plans + Employer supplemented Health… more
    State of Colorado (07/12/25)
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  • Health Care Services Trainee - Grand Junction…

    State of Colorado (Grand Junction, CO)
    …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... Board or request a review by the State Personnel Director . An appeal or review must be submitted on...Contribution Plan www.copera.org plus 401(k) and 457 plans + Medical and dental health plans + Employer supplemented Health… more
    State of Colorado (07/02/25)
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