- Bowman (Columbia, SC)
- …our employees and supportive of our unwavering commitment to provide unparalleled service to our clients. **Purpose** Assist in the execution of technical activities ... using advanced techniques and design principles and is reviewed by more senior staff to ensure application of sound professional judgement. Review work produced by… more
- The Cigna Group (Bloomfield, CT)
- …but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service + Manages ... + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (eg,… more
- Lawrence General Hospital (Lawrence, MA)
- …with Bed Finder health needs. + Work on collaboration with LGH staff , Behavioral Health Care Coordinator, and Technicians to develop an individualized comprehensive ... to ensure a team-based approach to addressing the client's behavioral health and medical needs. + Report and respond to changes in patient condition by performing… more
- Amentum (Philadelphia, PA)
- …is ever changing, the demand for innovative technology and long-term support services remains constant. These services include site acquisition, design, and ... other managers on the team to oversee all construction and administrative project staff . Our managers ensure quality on the project(s) and have the final decision… more
- The Cigna Group (Bloomfield, CT)
- …crisis call work, and case management with a passion to deliver a service experience that exceeds the member's or provider's expectation. The team works in ... and times may vary due to business need. All staff schedules include rotating shifts, weekends, and holiday time....obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps… more
- The Cigna Group (Bloomfield, CT)
- …discussions to gain knowledge of Pharmacy Benefit Management (PBM) services , including claims processing, coverage reviews, pharmacy networks, formulary management, ... and client management. + Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …Qualifications The Primary Purpose of the Position is: To serve as a staff psychologist on a multidisciplinary inpatient medical rehabilitation, palliative care ... years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP...is: Community Living Center, Behavioral Health Team, Mental Health Service , VA North Texas Health Care System, Dallas, TX.… more
- J&J Family of Companies (Santa Clara, CA)
- …of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for ... medical device treatment of atherosclerotic cardiovascular disease through its...sales expectations in an assigned territory while providing exceptional service and support to physicians to meet their patient's… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the walls of our hospital. Overview Children's Mercy Home Care is the only full- service pediatric home-health agency in the region. We utilize the services of ... and therapists who assist patients and families with their medical needs as they transition to their home environment....care and perform a wide range of skilled nursing services including acute and rehabilitative care, assessment of high-risk… more
- Stanford Health Care (Palo Alto, CA)
- …Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, ... presentation. + Audit Response: Ensuring the medical record documentation supports medical necessity and all services billed. Work closely with clinical… more