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... coordinates with other analytics, IT and business areas across the organization ... 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ... knowledge..
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... Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... communicates contract terms, payment structures, and reimbursement rates to..
... Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... on problems of diverse scope and complexity ranging from..
... Compliance Professional researches compliance issues and recommends changes that assure compliance ... visits for regulators, coordinates implementation and compliance with corrective action plans, ... technical approach for project components,..
... Risk Adjustment oversees coding educators and quality assurance audits of medical ... assurance audits of medical records and ICD-9/10 diagnosis codes that are ... to the Centers for Medicare..
... goal is to ensure transparency and help our members obtain high ... keeping our provider networks efficient and optimal. We achieve this through ... solving, business analytics, modeling, optimization,..
... Pharmacy Product & Growth organization and will be responsible for leading ... role will develop new products and enhance existing capabilities to drive ... covered lives across Medicare, Medicaid..
... a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) ... duties that require independent initiative and judgment. May apply intermediate mathematical .....
... Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. ... on problems of diverse scope and complexity ranging from moderate to .....
... to programming in the back-end and the appearance at the front-end. ... efforts in Digital Channels (web and mobile) space for one of ... to Director of Digital Solutions..
... Healthcare Financial Analyst collects, analyzes, and reports on various market data, ... market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The ... provide support through..
... focus on improving the provider experience and achieving path-to-value goals through analysis ... achieving path-to-value goals through analysis and reconciliation of provider payments and settlements. Responsibilities The Senior Value-Based..
... In Strategy, you will identify and analyze exciting new growth opportunities ... analyze exciting new growth opportunities and work with business leaders to ... leaders to prioritize strategic investments..
... company focused on the health and well-being of the people we ... committed to advancing the employment experience and vitality of the associate community. ... focus on stimulating positive..
... non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction..
... Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio ... 3 performs advanced administrative, operational, and Quality program and team support duties that..
... a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) ... Auditor work assignments are varied and frequently require interpretation and independent determination..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... product implementation, operations, contract compliance, and federal contract application submissions. The ... on problems of diverse scope..
... The Senior Application Architect designs and develops IT applications and architects solutions to business problems ... with the enterprise architecture direction and standards. The Senior Application Architect ... performs..
