- CVS Health (Tallahassee, FL)
- …cases (Medical), along with Patient Safety Events across all lines of business (Commercial, Medicare , and Medicaid). Independently coordinates the clinical ... AM -5:00 PM Eastern Standard Time (EST)_ with flexibility to work outside of business hours, as needed. This position reports to the Potential Quality of Care (PQOC)… more
- CVS Health (Hartford, CT)
- …processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports. Assesses files, ... day. **Position Summary** Aetna's Revenue Integrity team is hiring **Mgr, Business Consultants** to support our growing risk adjustment efforts. Designs… more
- Ochsner Health (Jefferson, LA)
- …or equivalent Preferred - Bachelor's degree Preferred - Additional degrees, business training experience and/or certifications may be combined to meet minimum ... clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, Managed Care contractual arrangements and patient… more
- OhioHealth (Columbus, OH)
- …& methodologies, health plan benefits designs (commercial, Medicaid & Medicare ), and referral/authorization processes. + Understanding of credentialing process and ... bases. + Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, contracts or governmental regulations.… more
- Sedgwick (San Diego, CA)
- …containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of- business . + ... authorization. + Identifies cases for settlements/redemptions. + Gathers/documents additional information and coordinates with client designees. + Requests legal/private… more
- Waystar (Atlanta, GA)
- …and collaboration skills; ability to translate complex, multi-dimensional issues into business impacts and propose solutions that produce a win-win outcome + ... track record of preparing and delivering presentations that convey critical information , adjusting real-time to meet changing conversation content and direction.… more
- General Dynamics Information Technology (Fairfax, VA)
- …primary contact with the Subject Matter Experts. + May coach and mentor other Business Analysts. + Daily demonstration of a ** Consultant Mindset:** + **Strategic ... to Obtain:** None **Public Trust/Other Required:** Other **Job Family:** Business Process Analysis **Skills:** Atlassian JIRA,Create User Stories,Process Improvements,Requirements… more
- MetroLink (Los Angeles, CA)
- …of design and construction services; manage the procurement of contractor and/or consultant scope of work. + Monitor expenditures during design and construction and ... requirements of the contract, and SCRRA standards, respond to requests for information , and maintain logs, submittals, requests for information , correspondence,… more
- MetroLink (Los Angeles, CA)
- …be eliminated when the funding ends, time expires, or due to lack of business need for the position. Limited Term employees receive all benefits provided to ... of experience in public or governmental agency as an employee, contractor, or consultant with a Class 1, intercity passenger, major commuter railroad, or transit… more
- OhioHealth (Columbus, OH)
- …the "petty cash fund at specific campuses.Provides to Legal, necessary information for the Center for Medicare /Medicaid Services required reporting.Prepares ... to outside attorneys. See Legal Matters Maintains and ensures updated information in Risk Management Database - ORIGAMI.Provide PowerPoint presentations with graphs… more