- Henry Ford Health System (Detroit, MI)
- …variety of high-level administrative details. + Coding knowledge. Knowledge of clinical terminology. Understanding of patient treatment plans for purposes of ... obtaining authorizations. + Ability to interpret RN or Physician notes in order to facilitate obtaining authorizations. + Ability to evaluate & communicate to RN/Physician staff additional requirements or roadblocks. + Additional coursework in business,… more
- Oracle (Columbus, OH)
- …senior full stack engineers to join our greenfield initiative-building AI-first clinical applications and scalable cloud services. As a Consulting Member of ... Technical Staff, you will architect and lead the development of innovative, distributed systems and modern user interfaces that support healthcare professionals and patients. You will drive cloud-native best practices, guide technical strategy for EHR… more
- FlexStaff (Lake Success, NY)
- …to billing/clerical staff regarding billing and office/clerical functions + Carries out clinical documentation requests to business office to ensure timely appeals + ... Implements policies and procedures to facilitate billing and maximize case collections + Implements improvements for financial management of each billing area + Performs related duties as required. All responsibilities noted here are considered essential… more
- Nestle (Denver, CO)
- …**Experience and Education Requirements:** * Bachelor's degree * 7+ years medical/ clinical selling experience in a hospital setting required with key account ... management experience selling to C-suite strongly preferred. * 7+ years of leadership experience with demonstrated track record of success building, developing and inspiring high performance teams * Experience managing complex, cross-functional projects. *… more
- Philips (Baltimore, MD)
- …the right fit if** + 5+ years of successful experience in sales, clinical , or business management, with a focus on GPO operations/contracts, healthcare industry ... trends, and hospital-supplier interactions. + Previous experience with GPO agreements, contracting, T&C issues, and managing RFP's required. + You've acquired a Bachelor's Degree or equivalent experience listed above and below. + You must be able to… more
- BrightSpring Health Services (Louisville, KY)
- …and behavioral health, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450,000 customers, clients and ... patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system.… more
- Insight Global (Hayward, CA)
- …flow. * Collaboration & Requirements Gathering: Work closely with operational, clinical , and business stakeholders to understand requirements, define key metrics, ... and translate business needs into effective BI solutions. * Performance Optimization: Optimize Qlik dashboards, data pipelines, and data models for performance, scalability, and usability. * Support & Documentation: Provide end-user support and maintain clear,… more
- Henry Ford Health System (Detroit, MI)
- …validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex ... Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding… more
- Molina Healthcare (Longview, TX)
- …Molina risk adjustment and quality efforts (eg Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal. * ... Tracks all engagement and training activities using standard Molina Provider Engagement tools to measure effectiveness both within and across Molina Health Plans. * Serves as a Provider Engagement subject matter expert; works collaboratively within the Health… more
- The Cigna Group (Bloomfield, CT)
- …recommendations based on performance results. + Collaborate cross-functionally with clinical , product, network, and finance partners to influence decision-making and ... drive performance improvement. + Support and maintain savings scorecards, ensuring emerging risks and opportunities are identified, quantified, and communicated effectively. + Translate ambiguity into structured plans, actionable insights, and measurable… more