...Learn more at:
Job Summary:
The Payment Integrity Program Lead will ensure that claims are paid accurately through Coordination... ...Medicare and Medicaid plans
~ Knowledge of the Department of Managed Healthcare COB guidelines
~ Excellent customer service skills...
Suggested
Local area
...Job Summary: The Database Marketing Manager (Marketing) will be responsible for leveraging... ...automation, and digital tools to develop and execute targeted campaigns, projects,... ...Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment...
Suggested
Local area
Remote job
...improvements to develop new and better ways of delivering clinical care.
Learn more at northernnevadahealth.com
This CVOR RN Program Coordinator opportunity is full time at 40 hours per week, offers full benefits and a convenient day shift schedule. This dynamic...
Suggested
Full time
Part time
Local area
Day shift
...Job Summary: The Product Development Manager is at the forefront of guiding our product... ...external customers to initiate , plan, execute and manage product development and implementation... ...Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work...
Suggested
Local area
...more at:
Job Summary: The Project Manager at Prominence Health fulfills a role in... ...and driving key strategic projects and programs within the organization, with a focus on... ...communication, and ensuring the successful execution of initiatives aligned with the...
Suggested
Local area
...CFO, this role will be responsible for managing all aspects of accounting processes including... ...Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment... ...~ Strong project management and plan execution skills with the ability to respond to multiple...
Suggested
Local area
Remote job
...Job Summary: The Pharmacy Benefit Operations Manager provides supervision of a team in charge of daily... ...benefits and managing associated personnel, programs, and services. These initiatives and programs include execution of pharmacy benefits implementation, product development...
Suggested
Local area
...patient experience.
Learn more at:
Job Summary: The Manager of Medicare Enrollment is responsible for managing the day-to-... ...locations.
Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment
~ Competitive...
Suggested
For contractors
Local area
...more at:
Job Summary: The Risk Adjustment Submissions Manager is a core member of the Risk Adjustment team who specializes in... ...data submissions.
Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment
~ Competitive...
Suggested
Work experience placement
Local area
...: This position is responsible for the day-to-day management of the Care Management (CM) program, D-SNP Care Management Program, and Transitions of Care... ...RN licensure and employment location.
Experience executing strategies; organizing and prioritizing multiple...
Suggested
Local area
...model; evidence-based practice; and education and development programs to support recruitment and retention.
VHS is owned and operated... ...preferred.
Experience: Three to five years food service management experience required.
Technical Skills: Computer skills:...
Suggested
Full time
Local area
Shift work
...individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for... ..., spreadsheet, and data collection/management computer programs.
License/Certification:
Has a current license to practice...
Suggested
Local area
...Experience: Minimum five (5) years clinical experience, with two (2)years QA or PI experience preferred,
and a minimum two (2) years management experience.
Technical Skills: Computer proficiency to include word processing, spreadsheet, and database.
License/...
Suggested
Local area
...Responsibilities
Job Summary: Business Relationship Manager for interacting with business facing teams as a member of the Application Development team. The role of the Business Relationship manager is to evolve and grow the Prominence Health technology applications...
Suggested
Work experience placement
Local area
...position will effectively supervise and manage the daily activities of the outreach team... ...Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment... ...~ Self-starter, resourceful and able to execute projects in a fluid and fast-paced...
Suggested
Local area
...concepts, as well as basic data analysis and programming skills. The intern will then apply their... ...Must be able to work independently, providing management with status updates.
Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment...
Hourly pay
Internship
Local area
Shift work
2 days per week
...Clinically Integrated Networks (CIN) leads and manages the implementation and national expansion of CIN value-based program strategy and relevant client service models... ...collaborating with internal and external key executives to ensure that value-based contracts align with...
Executive
Contract work
Local area
...Controller, the analyst will support and manage a variety of financial analysis and... ...Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment... ....
Strong project management and plan execution skills with the ability to respond to...
Local area
Remote job
...members to promote quality and wellness programs. The primary function of the outreach agent... ...’ customer service experience in a managed care, medical office or health care related... ...~ Self-starter, resourceful and able to execute projects in a fluid and fast-paced...
Local area
...Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work... ...optimization, STARS/Quality, and medical cost management
~ Ability to effectively communicate... ...~ Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment...
Work experience placement
Local area
Shift work
...quality patient care through effective management of the activities of the total patient care... ...of guidelines.
Keeps the chief nurse executive, his/her representative and/or the... ...carriers & car insurance
~ Tuition Repayment Program
~ Education reimbursement
~...
Executive
Full time
Part time
Local area
Shift work
Day shift
...surgery, podiatry and sleep medicine. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician... ...Nevada.
Masters Degree from an accredited Nurse Practitioner's Program.
National Certification as a Nurse Practitioner or...
Full time
Part time
Local area
Day shift
...The position will regularly interface with the pharmacy benefits manager, pharmacies, provider offices, and members. Specific day-to-day... ...regulatory compliance. This position will also assist with the execution of utilization management and quality improvement projects....
Local area
...neurosurgery and stroke care. Complementing the hospital’s neurology program is a neurology residency program and inpatient acute... ...reports as required.
Develop employees through appropriate management practices, creates a hospital climate to motivate employees to...
Local area
Relocation
...The Position
Clinical Program Managers plan, organize, implement and direct one or more mental health, intellectual disabilities, and/or child development service delivery programs by establishing goals, objectives, policies, and procedures; monitoring and evaluating...
Full time
Local area
Monday to Friday
...Full job description
Duties
Responsible for directing and managing program and administrative operations for one or more counties.
Carrying out permanent and ad hoc farm bill programs and policies established by USDA as well as crop insurance operations...
Executive
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Relocation
Flexible hours
1 day per week
Monday to Friday
...SQL experience.
Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment
~ Competitive... ...computer operations, data analysis, data reporting, database management and creation of custom reports.
Advance knowledge of custom...
Local area
...collaborate with various stakeholders to maintain high-quality claims management practices. This role demands strong leadership skills, in-... ...service .
Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment
~ Competitive...
Local area
Flexible hours
...Learn more at:
Job Summary:
Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring... ...punitive fines.
Benefit Highlights:
~ Loan Forgiveness Program
~ Challenging and rewarding work environment
~ Competitive...
Contract work
Work experience placement
Local area
...The Data Architect is responsible for designing, creating, and managing Prominence Health’s enterprise data architecture and data... ...waterfall and agile project delivery.
~ Proficient in one or more programming languages such as Python, R, or SQL required.
~ Prior...
Local area