- UnitedHealth Group (Plano, TX)
- …can be while Caring. Connecting. Growing together. The Sr. Clinical Quality Consultant (CQC) will drive consistency, efficient processes and share best practices, in ... years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role 2+ years of experience in provider facing interactions, including… more
- BlueCross BlueShield of South Carolina (Columbia, SC)
- …only. What You'll Do: Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of ... program. Conducts coverage and documentation workshops for provider staff ( Medicare providers and physicians' staff). Researches, composes, and coordinates the… more
- Catholic Charities of Denver (Denver, CO)
- …Services, Catholic Charities Housing, St. Raphael Counseling, Family, Kinship, and Senior Services; and Parish & Community Engagement. Our employees are crucial ... and WES (Women Emergency Services) clinical functions, including regulatory, Medicaid/ Medicare and Grant(s) oversight. The Clinical Director provides clinical… more
- Molina Healthcare (Iowa City, IA)
- **JOB DESCRIPTION** **Job Summary** Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer ... satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability.… 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
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... annual revenue. Support membership growth through the development and implementation of process improvements for both new sales (group and individual) and the… more
- Molina Healthcare (Atlanta, GA)
- …Change/Evidence of Coverage for print and online distribution via the iCat authoring process , ensuring compliance with CMS guidelines. Support Medicare and MMP ... the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage… more
- Wipfli LLP (Spokane, WA)
- …offers a career-defining opportunity. Responsibilities Purpose Under the direction of a Senior Consultant /Manager, the primary purpose of the Consultant ... and Medicaid reimbursement as well as manage the RHC enrollment process with Medicare and Medicaid payors. Responsibilities + Preparation of Medicare and… more
- OhioHealth (Columbus, OH)
- …and in our communities. **Job Description Summary:** The Research Finance Consultant will perform specialized technical fiscal activities and financial reporting for ... study or grant closeout. Provide feedback on post-awards billing process to affect the budget and contracts. Prepares financial...and departmental policies and procedures when Vice President or Senior Director or service line review / approval of… more
- OhioHealth (Columbus, OH)
- …- in our careers and in our communities. **Job Description Summary:** The Senior Research Finance Consultant for OhioHealth Research Institute (OHRI) will manage ... and varied fiscal administrative support functions such as analyzing Medicare Coverage Analysis documents, developing comprehensive internal study budgets,… more
