- Sharecare (Topeka, KS)
- …visit www.sharecare.com . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is ... hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure...be the place for you. **Location:** This role is remote , except for candidates located in the Mesa, AZ… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the system's objectives for assuring… more
- CommonSpirit Health (Salt Lake City, UT)
- …roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment, preferred. + Education and experience in ... position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals...relocate to the Salt Lake City Area._ The Physician Advisor reports directly to the Medical Director Physician … more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Physician Advisor ** , you will help our client facilities navigate the path ... documentation was available for the admission status, procedure, and care setting that was requested. You will also advise...basic computer skills is essential for excelling in this remote position. **Here's what you will experience working as… more
- UNC Health Care (Chapel Hill, NC)
- …conditions, patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation of provider ... CPT codes in accordance with the Official Coding Guidelines, and third party payer , state and federal regulations. 10. Identifies cases for CDI Physician Advisor… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER: University Hospital ( Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors a ... comprehensive plan of care for each patient/family in collaboration with the physician,...admission; review every 3 days or as requested by payer + Determine patient classification with provider and ensure… more
- Humana (Sacramento, CA)
- …Partner with national innovation teams to pilot and scale emerging technologies and care models (eg, remote monitoring, clinical pathways, tech-enabled care ... and cross-functional collaboration. The RVP acts as a key advisor , innovator, and relationship builder, ensuring alignment with Humana's...years clinical practice + 5 + years in managed care industry, either provider or payer . +… more
- Lane County (Springfield, OR)
- …Salary $26.03 - $34.82 Hourly Location Springfield, OR Job Type Regular Remote Employment Flexible/Hybrid Job Number 202500277 Department Health & Human Services ... healthcare revenue cycle experience required. + Working knowledge of health plan payer billing requirements for Medicare, Medicaid and Commercial plans. + Experience… more
- Medexus Pharma (AZ)
- Medical Science Liaison (Ohio Valley) remote Remote , Ohio Valley, United States . full-time . September 22, 2025 Description **Company Bio** Medexus Pharma is a ... Affairs team. The MSL will serve as a scientific expert and trusted advisor , engaging with Key Opinion Leaders (KOLs), healthcare providers (HCPs), payors, and… more
- Children's Hospital Boston (Boston, MA)
- …receivable, revenue integrity, and financial clearance. + Serve as a key advisor and second-in-command to the SVP, Revenue Cycle, providing executive-level oversight ... with Clinical Departments, IT (Epic), Finance, Health Information Management, Patient Care Services, and Foundation entities to align integrated revenue strategies.… more