- Elevance Health (Wallingford, CT)
- …across the **Connecticut and/or New York** markets. The Care Consultant Sr . builds and owns trusting partnerships with senior and executive leadership ... Provider Success Consultant Sr . (Value-Based) JR167870 **Hybrid 1:**...This individual works across all three lines of business ( Medicare , Medicaid, and Commercial), marrying quantitative analysis with observational… more
- OhioHealth (Columbus, OH)
- …associated with revenue cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the ... This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities....well as the high level strategic purpose. * The Senior Reimbursement Consultant is required to use… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr . Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... and complex client problems + Develop detailed technical and process -related documentation related to environment-specific product design and configuration +… more
- CVS Health (Hartford, CT)
- …but a willingness to learn is essential. Responsibilities of the Wheelchair DME consultant include support of the appeal process , clinical claim review ... , pre-certification, and predetermination of covered benefits in the commercial, Medicare , and Medicaid environment. This Wheelchair DME consultant provides… more
- Health Care Service Corporation (Nashville, TN)
- …and critical timelines. Interacts with all levels of management including senior management. Supports the prioritization of transformational program activities and ... OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry… more
- Waystar (Atlanta, GA)
- …and knowledge of hospital revenue cycle workflows and the provider reimbursement process from patients and payers obtained either through direct experience in a ... hospitals and health systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out our organizational values:… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Senior Risk Manager Full Time,80 Hours Per Pay Period, Day Shifts Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than ... care to every patient, every time. Position Summary: The senior risk manager is responsible for the facility's risk...affect risk management programs and participates in the legislative process . + Leads and/or participates in the Risk Management… more
- OhioHealth (Columbus, OH)
- …specific campuses.Provides to Legal, necessary information for the Center for Medicare /Medicaid Services required reporting.Prepares financial reports for senior ... for patient refunds or payment with direction of the Manager or Risk Consultant Coordinator .Collect data for trending of potentially compensable events PCE ;… more
- Humana (Orlando, FL)
- …of our caring community and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, ... implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior ...Set (HEDIS), Patient Safety, and Patient Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant … more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The CenterWell Strategy Senior Consultant provides data-based strategic direction to support broader team and ... for business segments or the company at large. The Senior Consultant works on problems of diverse...and synthesis of strategic options for annual strategic planning process + Creating executive-level presentations and deliverables that clearly… more
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