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- ...regulatory and compliance initiatives across Medicaid and healthcare payer operations. The role will be responsible for translating complex... ...~ Manage backlog remediation and technical debt items related to prior regulatory releases. Cross-Functional Coordination...SuggestedFull timeContract workRemote work
- ...Job Description Job Description Overview Job Title: Labor & Industrial Relations Specialist Location: Arnold Air Force Base, TN Job Family Code: D – Human Resources Function/Branch: Human Resources Directorate...SuggestedHourly payFull timeContract workPart timeFor contractorsApprenticeshipH1bLocal area
- ...Company Cox Automotive - USA Job Family Group People Solutions Job Profile Employee Relations Sr Analyst Management Level Individual Contributor Flexible Work Option Can work remotely but need to live in the specified city, state, or region Travel %...SuggestedFull timeLive inWork at officeRemote workVisa sponsorshipFlexible hoursShift work
$119 per hour
...credentialed in multiple states in as little as 30 days \n \n Higher Insurance Rates: Access competitive reimbursement through a nationwide payer network \n \n Built-In Compliance: Ongoing compliance resources and audit support \n \n All-in-One EHR (Free): Scheduling,...SuggestedBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceRemote workFlexible hoursHeadway
Tennessee8 days ago$75k - $100k
...services to children diagnosed with autism spectrum disorder and related developmental disabilities. The BCBA is responsible for... ...documentation. Ensure compliance with BACB ethical standards, payer requirements, and company policies. Participate in team meetings...SuggestedFull timePart timeMonday to FridayFlexible hours- ...mastery of radiation oncology-specific procedure codes, terminology, payer trends and billing requirements Mastery of Power BI... ...communication skills. Proficient in Microsoft Office Suite or related software. Exceptional organizational skills and attention to...SuggestedDaily paidWork at officeFlexible hours
- ...resident, care providers, facilities financial services, and third-party payers.Oversee all admissions and discharge activities.Coordinate referrals both to and from our facility.Ability to relate positively, effectively, and appropriately with residents, families, staff...SuggestedDay shift
$76.09k - $115.59k
...City/State Norfolk, VA Work Shift First (Days) Overview: The Business Analyst Payer Escalations is responsible for designing, producing, and analyzing data-driven reports to support business operations and special projects. This role involves utilizing various...SuggestedFull timeTemporary workRemote workShift work- ...At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives – beyond... ...Responsibilities Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification...SuggestedFull timeTemporary workWork experience placementWork at officeFlexible hours
- ...schedules daily to identify patients requiring authorization per payer requirements. •Review guidelines to confirm if no auth is... ...communication skills. •Proficient in Microsoft Office Suite or related software. •Exceptional organizational skills and attention to...SuggestedWork at office
Radiation Billing Solutions, Inc
Tennesseea month ago $72.2k - $120.4k
...Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction... ...medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. FRM will...SuggestedFull timeWork at officeRemote workWork from home- ...healthcare claims processing, eligibility, denials management, payer enrollment, and reimbursement workflows. · Familiarity with clearinghouse... ...selling healthcare software, revenue cycle solutions, or related technology platforms. · Experience selling to or partnering...SuggestedFull timeContract workLocal areaRemote workFlexible hours
$160k
...review of prior authorizations and appeals Responsible for UM-related quality improvement activities, including conducting audits to... ...serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined...SuggestedFull timeTemporary workLocal areaRemote workFlexible hours- ...implements individualized speech, communication, and swallowing-related plans while collaborating with interdisciplinary teams to promote... ...and comply with applicable clinical standards, regulations, and payer requirements.Support the Team: Work independently and...Suggested
- ...quality clinical services, ensures all documentation is completed per Payer’s, state licensing agent’s, COA, & HCA’s standards and... ...plan Serve as a liaison with other professionals and agencies as related to the client Actively recruit new referrals to ensure that your...SuggestedFull timeInternshipLocal areaFlexible hours
- ...requirements and translate them into technical changes across Facets and related applications. Design, develop, configure, and maintain... ...regulatory or business-rule changes within healthcare payer platforms. Strong Facets knowledge across membership, eligibility...Full timeContract workRemote work
$106.52k - $157.27k
...analytics, statistics, informatics, business, public health, or related field (Required) Certification/Licensure No specific certification... ...validation activities. Experience working with healthcare, payer, claims, enrollment, provider, or other regulated data domains....Full timeTemporary workRemote workShift work$106.61k - $284.28k
...entire technology stack. This position will focus on optimizing our Payer Operations with the goal of building solutions that enrich our... .... Data Object Integration: Strong experience with relational and NoSQL databases (e.g., PostgreSQL, MongoDB), ORMs, and integrating...Hourly payFull timeTemporary workLocal area$83.43k - $222.48k
...engineering projects. This position will focus on optimizing our Payer Operations with the goal of building solutions that enrich our... ...Requirements ~5+ years of experience working with SQL and relational database management systems ~ Hands-on experience with dimensional...Hourly payFull timeTemporary workWork experience placementLocal area- ...-screening reports, and preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment... ...including the account names and terms of contracts or other past payer agreements, as appropriate. Consults with third party...
- ...Vice President of Payer Strategy & Relations About the Company Faith-based high quality cost-effective healthcare system Industry Hospital & Health Care Type Non Profit Founded 1918 Employees 10,001+ Categories ~ Health Care Specialties...
- ...regulatory and compliance initiatives across Medicaid and healthcare payer operations. This role will be responsible for coordinating... ...Information Systems, Healthcare Administration, Engineering, or related field. ~15+ years of program, project, or delivery management...Full timeRemote work
$46.99k - $122.4k
...stakeholders across network management, contracting, analytics, provider relations, and product teams. Build and maintain productive... ...service, healthcare reimbursement, dental practice operations, or a payer environment. Strong analytical and problem-solving skills...Hourly payFull timeContract workTemporary workLocal areaRemote work$250k - $285k
...Summary: We are seeking a highly motivated individual to join our US Payer Field team (Market Access) as an Account Director, covering the... ...Account Director will be a subject matter expert on all access related items including payer policy, pricing communication, and...Full timeFor contractorsLocal areaRemote workOrca Bio
Tennessee15 hours ago- ...reporting, operational and system issues Perform a variety of tasks related to the resolution of production support issues based on client... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. ~6 + year(s) experience in Configuring client System for...Contract workImmediate startMonday to FridayShift workWeekend work
- ...Administration, Finance, Operations Management, Engineering, or a related field. ~8+ years of experience in Solution Architecture,... ...Preferred Qualifications Experience supporting Healthcare Payer operations, including Claims, Benefits Administration, Enrollment...
- ...stakeholders (including research and healthcare professionals, payers, and providers). The focus of this role is on interacting with... ...about AbbVie's marketed products, compounds in development and the related disease states, in a strictly scientific, non-promotional...Remote jobFull timeLocal area
$160k - $210k
...team in the United States and are currently looking for a Regional Lead to join the team. Reporting into the VP of Government Relations, this role translates VGW’s lobbying strategy into targeted, state-specific lobbying campaigns managing a roster of external...Full timeContract workLocal areaRemote work- ...are trusted to do their best work. The Role: Director, Diagnosis-Related Group Validation (DRGV) The Director, Diagnosis-Related Group... ...Documentation Integrity (CDI). ~ Experience interpreting payer contracts, reimbursement terms, and claim adjudication processes...Full timeTemporary workWork from home
$67.1k - $100.7k
...Company Cox Automotive - USA Job Family Group People Solutions Job Profile Employee Relations Analyst II Management Level Individual Contributor Flexible Work Option Can work remotely but need to live in the specified city, state, or region Travel %...Full timeLive inWork at officeRemote workVisa sponsorshipFlexible hoursShift work
