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... (DA), patient treatment trends, product data and scientific activities. Ensures participation ... teams to share geographical and healthcare provider information within compliance boundaries. ... Pharmacovigilance SOPs regarding identification and..
u003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e perform audits of the documentation and posted CPT, HCPCs and ICD-10 codes of a sample of billed claims to determine whether services ordered by providers are rendered ..
Description The Account Management Financial Analyst analyzes and forecasts financial, economic, ... forecasts financial, economic, and other data to provide accurate and timely ... and operational decisions. This Financial Analyst..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
... using both internal and external data sources, and allowing us to ... at least 1 year of healthcare experience, or ASA with at ... at least 3 years of..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... the analysis of situations or data requires an in-depth evaluation of ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... in the..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... system tools and database or data warehouse queries and scripts. In ... the analysis of..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... of new value-based models through data..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
... to build a world class Data Science and Insights enterprise capability ... Through the strategic interpretation of data, we provide our consumers-physicians, patients, ... and analyzing diverse types of..
... The Strategy Advancement Advisor provides data-based strategic direction to identify and ... (ECM) team needs your business, healthcare and research acumen to solve ... acumen to solve for the..
... Health Information Management Professional ensures data integrity for claims errors. The ... the analysis of situations or data requires an in-depth evaluation of ... compliance standards via analysis of..
Description The Financial (Pricing) Analyst analyzes and forecasts financial, economic, ... forecasts financial, economic, and other data to provide accurate and timely ... and operational decisions. This Financial Analyst work..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
... Program Business Owners with metrics reporting and program performance including ROI ... improvements to current processes. Create reporting tools to track results, provide ... working with key partners and..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Job ID 21000H1IAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... the analysis of situations or data requires an in-depth evaluation of ... evaluations and analyze incentive performance data on a quarterly basis for ... Assist with automation to streamline..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description The Clinical Data and Reporting Professional 2 generates ad hoc ... reports and regular datasets and reporting for clinical leadership decision making. ... leadership decision making. The Clinical Data..
... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... various analytical organizations to lead..