- Elevance Health (Columbus, OH)
- _T_ _he_ _MyCare Ohio Plan program is to deliver high_ _‐_ _quality, trauma informed, culturally competent, person_ _‐_ _centered coordination for all members that ... long term services and supports, and psychosocial needs._ **Medical Management Specialist I** **Location:** This role enables associates to work virtually full-time,… more
- Aston Carter (Beaverton, OR)
- ✨Hiring a Talented Payroll Specialist ✨ Job Description The Payroll Specialist will focus on semi-monthly payroll, processing new hires, ensuring the accuracy of ... semi-monthly. + Experience in PBJ or healthcare/care facility payroll for Medicare /Medicaid. + Proficiency in benefits administration and garnishments. + Experience… more
- Actalent (Fort Lauderdale, FL)
- HEDIS TRC Specialist Job Description As a HEDIS TRC Specialist , you will collaborate with the HEDIS team to collect and review member records, contacting ... degree in Nursing or higher required + Experience with Medicaid/ Medicare required + Minimum of 2 seasons of HEDIS/STARS...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- J&J Family of Companies (Omaha, NE)
- …Kansas + Nebraska We are searching for the best talent for Area Business Specialist to cover the territory of Iowa, Kansas, and Nebraska. **About Neuroscience** Our ... of the way. Learn more at https://www.jnj.com/innovative-medicine **The** **Mood Area Business Specialist ** **will:** + Educate doctors and staff in new and existing… more
- TEKsystems (Bowie, MD)
- Full-Time Patient Services Specialist - Bowie, MD We're hiring a Patient Services Specialist to join our outpatient clinic team in Bowie. This full-time role is ... to a positive clinic environment + Assist with authorizations, Medicare Plan of Care tracking, and end-of-day charge reviews...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Prime Healthcare (Inglewood, CA)
- …responsible for implementation and improvement of clinical documentation improvement program at the facility and supervises clinical documentation specialists (CDS). ... preferred. 2. Minimum of two years experience as a clinical documentation specialist . 3. Extensive knowledge of nursing care, clinical measurement tools, and… more
- Cleveland Clinic (Mayfield Heights, OH)
- …receive for professional nursing practice. The Safety and Quality Patient Experience Specialist II (SQPE) leads safety, quality, and experience work at our Cleveland ... Clinic Main Campus. The Specialist coordinates and implements improvement initiatives. The focus of...experience with safety, quality, patient experience and Performance Improvement program or related healthcare experience + Previous experience in… more
- Integra Partners (Troy, MI)
- The Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting CMS ( Medicare ) and state Medicaid guidelines to ensure the ... across the company. Salary: $110,000/Annually The Medical Policy & Compliance Specialist responsibilities include but are not limited to: + Deep knowledge… more
- HCA Healthcare (Overland Park, KS)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... vary by location._** We are seeking a Medical Collections Specialist for our team to ensure that we continue...and administer contracts in collection of third party accounts ( Medicare and Medicaid) + You will complete account reconciliation… more
- Project Renewal, Inc. (Bronx, NY)
- Title: Entitlement Specialist Program : Ana's Place Salary Range: $35,000/yr Program Description: Ana's Place is a 108 bed 24/7 emergency shelter for homeless ... nurse. Essential Duties and Responsibilities: The essential duties of the Entitlement Specialist include, but are not limited to, the following activities: + Regular… more