- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. Position Summary: The leader in this position is responsible for the design, development, and ... our trend management initiatives in the areas of medical policy, payment policy, care management, pharmacy, health and wellness programs, fraud/waste/abuse, behavior… more
- Cleveland Clinic (Cleveland, OH)
- …of pediatric cancers through prospective and retrospective analyses and other clinical research efforts. The candidate is also expected to be committed to teaching ... other trainees. The candidate should be at the Assistant, Associate or equivalent level with strong clinical and clinical... or equivalent level with strong clinical and clinical research interests in pediatric oncology, with an interest in… more
- Cleveland Clinic (Cleveland, OH)
- …supported. + Gender:This position will collaborate with existing staff psychologists and healthcare providers within the LGBTQ and Transgender clinics to advance the ... Program. Employment at the Cleveland Clinic allows for opportunities in research , and professional development. A faculty appointment at a rank commensurate… more
- Penn Medicine (Lawrenceville, NJ)
- …able to accurately and consistently interpret and readily explain various healthcare insurance plans coverage, benefits and patient payment responsibilities. ... the highest level of care to patients, conducting innovative research , and educating future leaders in the field of...their out of pocket expenses and attempts to collect payment and/or offers payment plan arrangements prior… more
- University of Michigan (Ann Arbor, MI)
- …the Executive Director University of Michigan Medical Group (UMMG) and Senior Associate Dean of Clinical Affairs, President UM Health Partners Medical Regional ... and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan,… more
- Humana (Madison, WI)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to define and ... with humans in real-world environments. This role blends cutting-edge research , robust experimentation, and product-focused execution to improve user trust,… more
- Humana (Phoenix, AZ)
- …of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering ... Professional, you will develop and/or evaluate compliance policies and procedures. Research compliance issues and recommends changes that assure compliance with… more
- American Heart Association (Dallas, TX)
- …**Responsibilities** + In collaboration with volunteers and staff (measures, research , and Healthcare Information Technology (HIT) staff) operationalizes ... The American Heart Association has an excellent opportunity for a **Senior** ** Healthcare Quality Measures Manager** based out of our National Center office. This… more
- Humana (South Miami, FL)
- …agents + The dialer will call the member and connect them to the associate automatically + Employs a variety of case management strategies, approaches and techniques ... needs and hours could include weekends/holidays. **Preferred Qualifications** + Associate 's Degree + Microsoft Office PowerPoint + Bilingual English/ Spanish… more
- Covenant Health Inc. (Knoxville, TN)
- …supervision resulting in the correct outcome. Reviews billed claims for timely and accurate payment . Timely research and follow up of claim denials. Serve as a ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and… more