- UPMC (Pittsburgh, PA)
- UPMC's Health Plan and WorkPartners are hiring an EAP Specialist for their LifeSolutions Clinical Services Team. This is a hybrid role that will work partially ... onsite and remotely. Staff may choose their preferred location to report to as the team has...LS Clinical Director and/or the Medical Director, the EAP Specialist is responsible for providing the clinical services for… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle ... other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple… more
- WestCare Foundation (Pikeville, KY)
- …for assisting the agency in ensuring that documentation requirements for Medicaid, Medicare and other funding sources per chapter and contract guidelines are adhered ... in the areas of quality documentation and records review in relation to Medicaid/ Medicare regulations and all other federal, state and local rules and regulations… more
- Ochsner Health (New Orleans, LA)
- …concurrently to meet required standards and deadlines, and maintaining Medicare certifications/enrollments and Medicaid enrollments for all facilities. In addition, ... **Education** Required - Bachelor's degree in healthcare or related field. Preferred - Master's degree in healthcare or related field. **Work Experience**… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines… more
- LA Care Health Plan (Panorama City, CA)
- Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center-Panorama Location: Panorama City, CA, US, 91402 ... to achieve that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community,… more
- Molina Healthcare (East Moline, IL)
- …Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Sr Specialist ** in/near the Rockford or East Moline area **.** This role will help ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
- Deloitte (Los Angeles, CA)
- …, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...documentation + Proficient in MS Word, Excel and PowerPoint preferred + Proficient in Electronic Medical Record (EMR) software,… more
- HCA Healthcare (Asheville, NC)
- …Do you have the career opportunities as a Clinical Practice and Education Specialist you want with your current employer? We have an exciting opportunity for ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- Select Medical (West Orange, NJ)
- …- West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more