- Humana (Lansing, MI)
- …handling escalated or highly visible provider complaints/issues to resolution. + Understanding of health insurance claims and ability to analyze data to resolve ... part of our caring community and help us put health first** The Senior Provider Relations Professional is responsible...providers in self-service functions - such as eligibility confirmation, claims submission and payment - by use of available… more
- Sedgwick (Des Moines, IA)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
- University of Rochester (Rochester, NY)
- …Information Technology or health related field - 2 years' experience as Medical Coder required - Additional coding experience in area of assignment preferred - ... expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction… more
- Medtronic (Seattle, WA)
- … Medical Surgical Portfolios to support commercialization of cutting-edge digital health solutions, complex surgical robotic platforms, smart medical devices, ... + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data privacy and security laws,...supporting Sales and Marketing, with a focus on digital health enabled medical devices and services. +… more
- J&J Family of Companies (Cincinnati, OH)
- …of medical delivery systems, reimbursement, market access conditions and health policy trends in major global markets is required. + Solid knowledge ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation...close collaboration with Global Strategic Marketing, Research & Development, Medical , Clinical & Preclinical, and Regional HEMA partners to… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH FACILITIES PROGRAM MANAGER, NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4626091) Apply HEALTH FACILITIES PROGRAM ... County, CA Job Type Full time Job Number PH5710C Department PUBLIC HEALTH Opening Date 09/18/2024 + Description + Benefits + Questions Position/Program Information… more
- Texas Veterans Commission (Odessa, TX)
- … medical information. . Understands and is experienced navigating the VA Health Care System, including working knowledge of medical terminology and VA ... As a member of the Texas Veterans Commission (TVC) Health Care Advocacy Department (HCAD), this position will act...manner. . Consults with TVC staff, VA Patient Advocates, medical , and legal staff to gather pertinent evidence to… more
- CVS Health (Columbus, OH)
- …+ Promotes communication, both internally and externally to enhance effectiveness of medical management services (eg, health care providers, and health ... in a medical office, hospital setting, case worker in community health setting). + Effective communication, telephonic and organization skills with ability to be… more
- Trinity Health (Darby, PA)
- **Employment Type:** Part time **Shift:** **Description:** Trinity Health Mid-Atlantic Medical Group has an excellent full-time opportunity for a Board Certified ... to be part of a well-established hospitalist group. **RECRUITMENT PACKAGE** Trinity Health Mid-Atlantic Medical Group offers a competitive salary and… more
- Penn State Health (Hershey, PA)
- …Benefits Orientation, Employee Exclusive Concierge Service for scheduling. **WHY PENN STATE HEALTH MEDICAL GROUP?** \#WeAre committed to providing patient- and ... **Penn State Health ** - **Community Medical Group** **Location:**...lost property, and general liability insurance property and injury claims . + Identify appropriate level of risk for each… more