- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Senior Complex Denials Consultant , you will represent and counsel ... project assignments. **Here's what you will experience working as a Senior Complex Denials Consultant :** + Assist recovery staff in pursuing appeals,… more
- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant , you will represent healthcare ... other relevant topics. **Here's what you will experience working as a Complex Denials Consultant :** + Assist recovery staff in pursuing appeals, including… more
- Huron Consulting Group (Van Buren, AR)
- …strategies and achieve measurable clinical and financial improvements. As a Management Consultant , you will work with a team of technical and project management ... consultant to support integrated initiatives that optimize Epic systems,...client stakeholders to deliver innovative, data-driven solutions that address complex digital challenges. Your role will be pivotal in… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... active involvement in scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and… more
- Capco, a Wipro Company (Orlando, FL)
- …improvement and value beyond cost efficiency. **About the Job:** The Senior Consultant - Mortgage Quality Control is responsible for evaluating and reanalyzing ... + Confirm sound underwriting decisions regarding loan approval, conditions, or denials based on comprehensive risk analysis. + Provide guidance, training, and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …department chairs as necessary * Provide consultation to Care Coordination staff regarding complex clinical issues and advises on next steps * Documents patient care ... and champion successful relationships with Care Coordination (Utilization Management, Denials Management, and Progression/Transition of Care) * Establish partnership… more
- Nuvance Health (Danbury, CT)
- …approach to physician advisor roles in utilization management, , documentation and denials /downgrades. * Serves as physician expert and provides support to care team ... denial management issues, and potentially quality issues. * Functions as a consultant and resource to other Physician Advisors and primary (attending) physicians. *… more
- Houston Methodist (Houston, TX)
- …alternative levels of care. Provide consultation to case management staff regarding complex clinical issues and advises on next steps. Provide feedback to attending ... in department meetings. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Act as consultant and resource to attending/responsible physicians regarding their decisions… more
- HCA Healthcare (Austin, TX)
- …the medical staff and medical staff affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality ... technologies and programs to HCA hospitals. + Serves as a resource and consultant to the Vice President Physician Services Group and/or Vice President Business… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …fast-paced, detail-oriented, and highly collaborative. The analyst begins by navigating complex data requests-balancing urgent consultant inquiries with ongoing ... with coworkers and internal business partners to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including… more
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