- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social,… more
- Sharp HealthCare (San Diego, CA)
- …for ACM or CCM. **Essential Functions** + Collaboration and TeamworkProvides Sr. Specialist Inpatient Care Management support for ICM programs, initiatives, and ... employer business practices. **What You Will Do** The Sr Specialist Integrated Care Management is a key member of...assist with and assume as indicated complex cases to support facility LOS goals. + CommunicationActively contributes to the… more
- ManpowerGroup (Milwaukee, WI)
- …to support audit readiness and compliance. . Providing end-user support and training to ensure effective system utilization across Finance and related ... The Financial Systems Specialist serves as a key liaison between Finance...ensure data integrity. . Maintaining financial system controls to support compliance, audit readiness, and data integrity… more
- LA Care Health Plan (Los Angeles, CA)
- …are not limited to corrective action plans and escalating issues, as appropriate. Support audit documentation and serve as liaison as needed. Prepare ... Translation Services Specialist III Job Category: Clinical Department: Cultural &...County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE COMPUTER SPECIALIST (SOFTWARE) CIVIL SERVICE TITLE, Work Location: 375 Pearl Street New York, NY The Department ... exit shelter and return to self-sufficiency as quickly as possible. HRA/General Support Services (GSS) provides safe, healthy, and appropriate facilities for HRA's… more
- Capital One (Richmond, VA)
- Compliance Advisory Specialist III, Principal Associate **The Capital One Retail Bank Compliance team is seeking a Compliance Advisory Specialist III, Principal ... a well-managed and compliant way. A successful Compliance Advisory Specialist III in this role will be self-motivated and...known risks, events or activities that may generate complaints Support lines of business through expert advice, and elevate… more
- City of Asheville (Asheville, NC)
- …(DCI) network within the first year of employment. Performance Aptitudes: + Data Utilization : Requires the ability to evaluate, audit , and/or assess data using ... Criminal Investigations and Community Engagement Administrative Services Specialist Print (https://www.governmentjobs.com/careers/ashevillenc/jobs/newprint/5071474) Apply Criminal Investigations and… more
- UPMC (Pittsburgh, PA)
- …Compensation, and other insurers. + Five years experience in a DRG Specialist /DRG audit -related position. + Knowledge of computer technology, quality assurance ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This...the medical record to ensure that all patient resource utilization , diagnostic complications and co-morbidities have been coded in… more
- Integra Partners (Troy, MI)
- The Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting CMS (Medicare) and state Medicaid guidelines to ensure the ... assist with provider inquiries, identify compliance risks areas, and support process improvement initiatives across the company. Salary: $110,000/Annually The… more
- Trinity Health (Ann Arbor, MI)
- …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... (pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and verifies the… more