- UPMC (Pittsburgh, PA)
- …clinical pharmacy expertise to develop, implement, and manage the pharmacy benefit . The Senior Clinical Pharmacist assists in managing pharmacy utilization and ... This role will have completed several stretch projects as outlined by their manager . The stretch projects, in addition to all new projects, would then be… more
- Huron Consulting Group (Chicago, IL)
- …Ability to interpret and apply clinical guidelines including Centers for Medicare and Medicaid, Federal Drug Administration, National Comprehensive Cancer Network. + ... to no errors. + Intermediate Excel competency + This is a full time US- REMOTE role. This salaried position may require working additional hours at times, depending… more
- Molina Healthcare (Los Angeles, CA)
- …ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... Work hours: Monday - Friday 8:00am - 5:00pm PST Remote position based in CA CA LVN licensure required...* Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee… more
- Molina Healthcare (Salt Lake City, UT)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
- Molina Healthcare (TX)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... is highly preferred. Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential Job Duties** + Coordinates, conducts and documents pre-delegation and… more
- Cedars-Sinai (Los Angeles, CA)
- …awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! ... ICD-10, HCPCS, modifiers). + Maintains familiarity with issues like coding regulations, Medicare rules, visits and procedures on the same day, consultation vs.… more
- Sanford Health (MN)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** Remote , MN **Address:** **Shift:** Day **Job Schedule:** ... **Department Details** Flexible scheduling after training is completed. Fully remote /work from home. **Job Summary** The Insurance Representative processes and… more
- Cedars-Sinai (Los Angeles, CA)
- …America's Best Hospitals! **What will you be doing in this role?** In this remote role, under the general direction of the Coding Supervisor, (using knowledge of ... HCPCS, modifiers). + Maintains familiarity with issues like HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs.… more
- Adecco US, Inc. (Kansas City, MO)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - depends on candidate's location **Travel:** Up to 80% ... air **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for...disability, additional voluntary benefits , EAP program, commuter benefits and a 401K plan. Our benefit … more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Physician - Remote Emergency Radiologist **Cost Center:** 201641261 System Radiology-Prof **Scheduled Weekly ... CVIR, nuclear medicine or mammography. + **Choose to work remote as a Non-Associate on a casual contract or...centers as an Associate physician with additional salary and benefits .** + If working onsite, you will need to… more