- Beth Israel Lahey Health (Plymouth, MA)
- …Patient Safety Evaluation System at the direction of the Risk manager and BID-P Senior Director of Quality and Patient Safety/ Patient Safety Officer. + Promotes the ... high level safety events as deemed appropriate by the Risk manager and BID-P Senior Director of Quality and Patient Safety/ Patient Safety Officer within a Just… more
- Banner Health (Phoenix, AZ)
- …Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); **JD from an ... and/or professional clinical degree and experience with healthcare professional liability claims management. Additional related education and/or experience… more
- Elevance Health (Mason, OH)
- …long term services and supports, and psychosocial needs._ **Network Education Representative Senior - LTSS** **Location:** This position is based in Ohio, the ... workplace. Alternate locations may be considered. The **Network Education Representative Senior - LTSS** is responsible for enhancing and overseeing a comprehensive… more
- Tufts Medicine (Boston, MA)
- …research towards solving a specific problem for an entity or community. A professional individual contributor role that may direct the work of other lower level ... using specialized knowledge and skills typically acquired through advanced education. A specialist level role that is a recognized subject matter expert in job… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as a Senior Compliance Auditor!** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? ... significant impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented ** Senior Compliance Auditor** to join our team! This position will be based… more
- Portland General Electric (Portland, OR)
- …clean energy solutions that are also affordable and accessible to all. As a Senior Enterprise Risk Analyst, you will have the unique opportunity to lead enterprise ... or patterns across data sets; researches potential mitigation strategies and presents to senior management; reviews work of other team members and suggests new or… more
- United Therapeutics (Sacramento, CA)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
- Highmark Health (Pierre, SD)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. About the role...plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor/Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising the… more
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