- Terumo Medical Corporation (Chicago, IL)
- …Date: Oct 1, 2025 Req ID: 5131 Location: Chicago, IL, US Company: Terumo Medical Corporation Department: TIS Sales - Upper Midwest Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. Conduct additional investigation and ... + Minimum 5 years of relevant experience required, 7-10 years' experience preferred + Medical /Legal background is a plus + RN Training and licensure is a… more
- Catholic Health Initiatives (Chattanooga, TN)
- …The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed ... by CMS to promote quality care for Medical Advantage members. By focusing on comprehensive documentation to...other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and… more
- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation ... Degree in relevant field required + Minimum 5 years of relevant experience required + Medical /Legal background is a plus + RN Training and licensure is a plus… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Catholic Health Services (Melville, NY)
- …The ProFee CDS will focus on pre-visit provider support, post-visit provider review , and collaboration and education with providers. Pre-visit provider support - ... indicators + Validation of data-driven suspect diagnoses Post-visit provider review - Perform post-visit reviews focused on what is...other chronic conditions that are addressed as part of medical decision making and the treatment plan + Assesses… more
- Veterans Affairs, Veterans Health Administration (Grants Pass, OR)
- …are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA ... patient-aligned care team (PACT) consisting of a physician, an RN Care Manager, a clinical associate (LPN or Health... Care Manager, a clinical associate (LPN or Health Tech/ Medical Assistant), and a clerical associate ( Medical … more
- RWJBarnabas Health (Oceanport, NJ)
- …set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained. Qualifications: Required: + Bachelor's degree ... Bachelor's degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with… more
- Mount Sinai Health System (New York, NY)
- …The Senior Risk Manager supports the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and comply with risk management ... to develop educational plans for instructing staff about the medical center's activities and the daily administration of its...to the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and… more
- Ascension Health (Glendale, WI)
- …safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims , and/or other patient safety-related data. + Educate and train the ... with legal counsel to coordinate the investigation, processing, and defense of claims against the organization. + Enhance the organization's and the larger… more