Healthcare Appeal Analyst Jobs

... and other members of the healthcare team including students. Align practice ... Basic Life Support (BLS) for Healthcare Provider card must be from ... have all the comforts and..

Self Pay Account Follow Up Rep Cancer care is all we do Hope in healing Cancer Treatment Centers of Americau00ae (CTCAu00ae) takes a unique and integrative approach to cancer care. Our ..

Supervisor, Medical Management- License Required','1208772','!*!Position Purpose: Supervise the day to day operations of the medical management, utilization and case management functions Oversee changes to medical service functions and performance in relation ..

Job Description:nLocation: Boston, MA or Washington, DC .Client will NOT accept H1s or Sponsor. Knowledge/Skills/Competencies/Education: * Bachelors Degree in business, finance, accounting or real estate management required. * Minimum 3 years ..

Inpatient DRG Auditor - Coding, Health First','051186','!*!POSITION SUMMARY: To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: providing timely, complete, and accurate data collection for optimal and ..

Job DescriptionnProgram Review Associate (RN)nu00a0nu00a0nThe Program Review Associate (RN) will complete the full spectrum of activities related to Cost Outlier or Utilization reviews as assigned. They will utilize their knowledge and ..

Utilization Review Nurse, Outpatient Utilization Mgmt - FT/Days (8:00AM-5:00PM)','MEM004555','!*!Purpose Statement / Position Summary   Under minimal supervision and using clinical experience, evidence based knowledge and in collaboration with our physicians, to process ..

nnu003cstrongu003eJob Descriptionu003c/strongu003enu003cbr /u003eu003cbr /u003eu003cbu003eClinical Pharmacist Consultant u003c/bu003eu003cbr /u003eu003cbr /u003eu003cpu003ePortland, OR; Seattle, WA; Boise, IDu003c/pu003eu003cpu003eu003c/pu003eu003cpu003eThe Clinical Pharmacist Consultant provides professional and clinical expertise for Pharmacy Services' clients in making clinical decisions based ..

... seeking a Recovery and Reimbursement Analyst.SummaryThis individual serves as an operational ... focus of the Recovery Reimbursement Analyst is reimbursement analysis, payment resolution ... hospital contract specifics.The Recovery Reimbursement..

OverviewnBrookdale Home Heath-Director of Clinical Services Opportunity!n nMake Lives Better Including Your Own.n nThe happiness of those we serve is dependent on the happiness of our associates, so youu2019ll receive competitive ..

Summary of Position • Provide the clinical leadership for ConnectiCare Medical Operations and Medical Quality both internally and externally; work with enterprise CMO to ensure implementation of strategies, policies, and processes.• ..

Apply on the Company Site Job Code 891652 Jobs Rated 41st Here you'll find a professional culture where you can use your talent and our resources to make an impact on ..

Requisition Number: DF364 GENERAL SUMMARY Supports the Program Director with administrative leadership for aspects of program operation. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities include: Implement strategies to achieve goals, both locally and ..

MEDICAL BILLER I Attention current TriHealth employees: Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to ..

FULL OR PART TIME INTEGRATIVE POSITION AVAILABLE We are a 5 doctor integrative veterinary practice in DeLand, Florida caring for small animals, exotics, and wildlife. Our three senior doctors have a ..

Job Summary: The Supply Chain Analyst â“ Intermediate provides comprehensive analytical support to the Decision Support Manager as well as Strategic Sourcing Managers. The Supply Chain Analyst â“ Intermediate provides timely ..

... Operations, as a Senior Data Analyst you will be responsible for ... call center through Clear Spring Healthcare’s various Advantage and part D ... part D health plans. The..

... patient outcomes and intervenes with healthcare team to eliminate when possible. ... an understanding of the peer-to-peer appeal process for authorization of acute ... the outcome of the peer-to-peer..

The Medical Director will be responsible for managing health plan medical costs and assuring appropriate health care delivery for plans and members. They will be responsible for leading the organizations efforts ..

Clinical Pharmacist Consultant Portland, OR; Seattle, WA; Boise, ID The Clinical Pharmacist Consultant provides professional and clinical expertise for Pharmacy Services' clients in making clinical decisions based on best practices in ..

Position Details:Job Title:Claims Specialist (Grievance and Appeals Specialist)Job Location:Mason OH 45040(Remote/Work from Home until pandemic is lifted)Duration:4months (Possibility of extension)Work Schedule:40hrs/week; Mon - Fri:- 08:00 AM - 05:00 PM Eastern TimeStart ..