- HCA Healthcare (Manchester, NH)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... actions). Facilitate due process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements. In accordance with… more
- Centene Corporation (Jefferson City, MO)
- …related to audit errors + Coordinate auditing outcomes and system maintenance with the Sr . + Clinical Systems Specialist to resolve or enhance clinical systems + ... Develop and maintain the audit process and tools related to: authorizations, appeals , quality events, and case management in CCMS; interrater reliability related to… more
- State of Colorado (Chaffee County, CO)
- …to include both physical and mental. + Experience working with the senior population. + Hospice experience. IMPORTANT INFORMATION: For information regarding this job ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange , at doc_###@state.co.us or call ###… more
- State of Colorado (Denver, CO)
- …to include both physical and mental. + Experience working with the senior population. + Hospice experience. IMPORTANT INFORMATION: The Assessment Process : Your ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange , at doc_###@state.co.us or call ###… more
- Ventura County (Ventura, CA)
- …strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification combined with extensive supervisory experience overseeing other ... coding specialists. PAYROLL TITLE: Senior Program Administrator (https://www.governmentjobs.com/careers/ventura/classspecs/newprint/2959) EDUCATIONAL/BILINGUAL INCENTIVE: Incumbents may be… more
- Evolent (Helena, MT)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more
- Rochester Regional Health (Rochester, NY)
- …requirements of third party payors are maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party ... the medical management department in the tracking, trending and reporting of appeals and charge recovery information. + Conducts reviews of cost outliers and… more
- Children's Mercy Kansas City (Kansas City, MO)
- …to maximize efficiency and cost effectiveness + Contributes as a partner with Senior Leadership as healthcare subject matter expert. + Acts as liaison to facilitate ... the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff + Analyzes, evaluates, and recommends operational… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- … appeals , and complaints, refers complex matters to HR Employee Relations Specialist or Senior Manager of Employee Relations as required + Participates ... in training employees and managers in HR Policy, Compliance, and best practices + Is a resource for HR Service team ESSENTIAL DUTIES + Provide employee relations support for assigned programs, answer questions, clarify policy, make on-site visits to provide… more
- Jet Aviation (CA)
- …operational innovation and leads with a people-centered approach to rewards and recognition . As the organization's subject matter expert in total compensation and ... **Total Rewards Design and Optimization** + Partner with the CPO and senior HR leaders to align total rewards operations with long-term organizational goals… more