- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Medical Mutual of Ohio (Oklahoma City, OK)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Job Summary:** ... keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- University of Southern California (Los Angeles, CA)
- …and negotiation of budgets for industry sponsored clinical trials. The budget specialist is responsible for reviewing the Medicare coverage analysis, protocol, ... Budgeting Specialist - Industry TrialsApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Health-Sciences-Campus/Budgeting- Specialist … more
- UPMC (Pittsburgh, PA)
- …cancer. UPMC Hillman Cancer Center is currently hiring a regular full-time Research Specialist - Coverage Analyst, ONC to help support the Oncology Clinical Research ... Financial Compliance team working Monday through Friday daylight hours with a remote schedule. The Clinical Trial Coverage Analyst is responsible for ensuring the… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... Specialist takes in-bound calls from providers, pharmacies, members, etc...clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information… more
- Cedars-Sinai (Marina Del Rey, CA)
- …period, the role will transition to a **hybrid schedule** , allowing for **1-2 remote workdays per week** , depending on departmental needs. The **Patient Safety ... Specialist ** is a clinical expert entrusted with the oversight...the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not… more
- UPMC (Pittsburgh, PA)
- …opportunity works Monday through Friday during daylight hours. The position will be fully remote ! In this role, the DRG Specialist II will review clinical ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This...obtained from these reports. + Facilitate compliance to the Medicare 72-Hour Rule by identifying and investigating related admissions,… more
- Signature Healthcare (Roanoke Rapids, NC)
- …choice in the healthcare industry. Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a love for ... Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare /Medicaid guidelines for all SHC Stakeholders. + Assist with design and… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** *This is a remote based position* Identifies, reviews, and interprets third party payments, adjustments and ... compliance with coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website,… more
- City of Henderson (Henderson, KY)
- Community and Neighborhood Programs Grant Specialist (Grant Funded) Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/5025597) Apply Community ... and Neighborhood Programs Grant Specialist (Grant Funded) Salary $68,356.93 - $104,229.11 Annually Location...off (Friday - Sunday.) *This position is eligible for remote work for up to half of the regularly… more