- Node.Digital (Arlington, VA)
- Network-Based System Analyst Location: Arlington, VA Must have an active Top Secret Security Clearance Node provides remote and onsite advanced technical ... might occur, within the network, in order to protect information, information systems , and networks from threats. Responsibilities: - Assists the Government lead in… more
- CareFirst (Washington, DC)
- …responsible for ensuring that members are accurately enrolled into CareFirst member enrollment systems in a timely manner, and according to the account contract or ... status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment… more
- Sage Hospitality Group (Denver, CO)
- …indicators and yield management tools to identify trends as an early warning system to where future revenue opportunities may lie. + Actively participate on brand ... (you may find these models in our learning management system ). **Qualifications** **Education/Formal Training** Bachelor's Degree in related field preferred.… more
- CareFirst (Baltimore, MD)
- …production, productivity, quality, and customer-service; resolving problems; identifying system improvements. + Maintains customer service objectives by monitoring ... support, enrollment or billing related customer issues. Consistently reviews systems and makes necessary adjustments where needed, including resources/staffing.… more
- CareFirst (Baltimore, MD)
- …authorization to claims processing by use of a working knowledge of claims system configuration, including claims edits. The ideal candidate will have a deep ... technical support teams, and the claims operations teams.Working knowledge of claims system configuration, including claims edits, is needed to ensure alignment of… more
- Cognizant (Richmond, VA)
- …Solutions Architect will lead the design and implementation of Order Management System (OMS) transformation program. This role requires deep expertise in IBM ... analysis, and roadmap to senior leadership. Performance & Compliance Ensure system scalability, security, and reliability. Conduct risk assessments and recommend… more
- Stanford Health Care (Palo Alto, CA)
- …but not limited to, patient or staff interviews, medical record reviews, system audit log reviews, internet searches, regulation searches, policy and procedure ... not be limited to, patient or staff interviews, medical record reviews, system audit log reviews, Internet searches, regulation searches, policy and procedure… more
- Stanford Health Care (Palo Alto, CA)
- …while ensuring compliance in charging and billing practices within the healthcare system . Serving as the primary liaison for Revenue Cycle, This position interfaces ... CDM Optimization: Works to ensure a compliant and consistent system CDM. Works with existing tools to evaluate CDM...party payer rules and regulations + Knowledge of computer systems , specifically, Epic Care and related interfaces + Knowledge… more
- CareFirst (Baltimore, MD)
- …methodologies developed meets the needs of the business. + Review/Research operations systems by analyzing and resolving problems; reviewing system integrity and ... and help. + Develop operation problem solutions by studying system capabilities; analyzing alternative solutions; preparing functional specifications to ensure… more
- CareFirst (Baltimore, MD)
- …language in the source document which may be utilized to update existing system edits or new system edits. **QUALIFICATIONS:** **Education Level:** Bachelor's ... **Preferred Qualifications:** + Master's Degree in Health Administration, Information Systems , or related field. **Knowledge, Skills and Abilities (KSAs)** +… more
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