📑 Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message th ...
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📑 Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical c ...
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📑 Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical c ...
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📑 Senior Population Health AnalystHeadquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America Req #1988Friday, April 19, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York ...
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📑 Senior Population Health AnalystHeadquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America Req #1988Friday, April 19, 2024Over 35 years strong and fueled by 1,700 smart, passionate employees across New York ...
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📑 Position: Coding AuditorLocation: Long Beach, CA (This role is a 100% remote position)Shift: 5*8 hours (40 hours GTD) Duration: 13 Weeks Required Skills & Experience:-Minimum of four years’ experience or a combination of healthcare related education and exper ...
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📑 *Candidate Must Be Based in Nashville, TN or Surrounding AreasThe Coder Program Manager will have organization level responsibilities to lead the risk adjustment program for accountable care populations and MA contracts and facilitate clinical documentation to ensure accurate depiction of the level of clinical ...
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📑 DescriptionSummary: This position will report to the Risk Adjustment Manager of Coding Operations. Responsibilities will include provider medical record audits, analysis of practice coding patterns, education, and training regarding risk adjustment. You will also analyze data to identify pat ...
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📑 Job Description**Must live in the South Florida area - this is not a remote position**Roles and ResponsibilitiesOversee, coordinate, or perform data mining and data-driven analysis to forecast/evaluate the performance of the risk adjustment program and refine annual ri ...
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📑 Job Description: The Nurse IV performs senior-level clinical review and consultative work for the Surveillance Utilization Review (SUR) division within the Office of Inspector General. Work conducted by this position includes performing retrospective utilization reviews and developing summaries of findings for multiple provide ...
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📑 Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, ...
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📑 Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message th ...
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📑 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Conduct screening and ri ...
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📑 Job Summary: The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as an Public Health Nursing Consultant. This position will provide monitoring and technical assistance to ensure compliance with contractual, regulatory, and statutory obligations for FFS member ...
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📑 Job Description:JOB SUMMARY/PURPOSEDevelops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Responsible for ensuring ri ...
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📑 Job Description:JOB SUMMARY/PURPOSEDevelops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Responsible for ensuring ri ...
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📑 Under the supervision of the Manager, Data and Reporting, this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment submissions to CMS, internal ...
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📑 We're on the lookout for an exceptional and visionary leader to join our dynamic organization as a Program Director. If you're passionate about steering strategic initiative ...
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📑 Job Title: Program Manager Location: Foster City, CA Duration: Permanent Detail Job Description: 1. Program/Project management experience using a formal methodology including Agile, scrum, Waterfall 2 . Total IT 13+ years At l ...
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📑 Position Purpose: The Performance Manager oversees the training and field work of the performance team in collaboration with the Sr. Manager of Quality and Risk Adjustment, this position is responsible for the program development, hiring, training and field implementation in physician practices with opportunities for improved quali ...
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📑 We’re thrilled that you are interested in joining us here at the Amynta Group! Vice President (VP)-Underwriting is responsible for producing, underwriting, managing and retaining profitable business for the company. The primary objective of the VP-Underwriting is to underwrite, maintain and grow the Ambridge portfolio in accordance with the ...
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📑 Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Inpatient Coder II ...
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📑 Overview Placement Type: Temporary Compensation: £111,115 PAYE - Pro Rata Start Date: 27 May, 2024 Role – Technical Program Manager Location – London/Remote (Have to be based in the UK) Length of contract – 9 months contract Rate – £111,115 ...
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📑 Job Summary: The position will serve as an encounter subject matter expert. Will provide analytical support and technical expertise for encounter (post adjudicated claim) operations. The position will also manage Contractor encounter submissions from EDI submissions to mainframe processing, ensuring accuracy, complete ...
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📑 Job Summary: The Office of Inspector General is seeking to fill two different types of the Auditor 3 position. This position is directly involved in negotiating the final determination of financial over-payments and recommending civil monetary penalties levied against providers participating in fraudulent billing prac ...
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📑 Job Description Title: Retirement Plan Adjustment Specialist Location: Remote - California, Connecticut, Massachusetts, Maine, Missouri, New Jersey, New York, Tennessee, Virginia - ONLYGet To Know The Team: The R ...
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📑 House Call Doctors is a rapidly growing, primary care office located in Salt Lake City, UT. We are continuing to expand in Utah and are seeking multiple providers (MD, DO, NP, PA) to see patients in their home for a one-time wellness exam at the request of their insurance. We need a provider who would be willing to travel to Ogden, Salt Lak ...
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📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
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📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
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📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
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📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
📑 To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality care.* Demonstrates clinical skills through t ...
🔗 View Salary and More Information 🎯 Get Ai Resume Score for this Job
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