clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special... with utilization management nurses and clinical staff to support timely decision-making. Review appeals and grievances related...
is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care... and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit...
is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care... and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit...
is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care... and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit...
is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care... and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit...
leadership of Coding, Clinical Documentation Improvement (CDI), and HIM Operations across a six-hospital integrated health system.... Oversees all aspects of hospital coding operations, clinical documentation, and HIM operations, including Release...
across clinical, operational, data science, engineering, design, and compliance functions to translate priority use cases into safe.... Cross-Functional Delivery ·Drive end-to-end execution with data science, engineering, clinical informatics, operations...
and management for care management services for adults and children, ensuring services are aligned with NYS Health Home... and high-quality care. o Supervise, mentor, and evaluate care management supervisors and staff, fostering a culture...
and management for care management services for adults and children, ensuring services are aligned with NYS Health Home... and high-quality care. o Supervise, mentor, and evaluate care management supervisors and staff, fostering a culture...
business. Champion innovation and customer-centricity while balancing regulatory, compliance, clinical, technical... dynamics Product management excellence Lead, mentor, and scale the global product management function across three sites...
that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The...'s Degree in Business Administration/Management or Public Health EXPERIENCE Required 5 years in Clinical, Direct Patient...
for data-gathering and analysis while ensuring guideline and regulation alignment; driving cross-functional patient management... continuum; managing resource needs in clinical areas to ensure appropriate assignment and utilization; evaluating the use...
– creating medicines that make life better for people around the world, like data driven drug discovery and connected clinical... medicines to those who need them, improve the understanding and management of disease, and give back to our communities through...
, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers... UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews...
, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers... UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews...
organizational compliance. Prepares and presents regular risk management reports and claims data to senior leadership, the Board... management, and the Patient Relations Department. This role ensures alignment between patient feedback, service recovery...
outcomes. IQVIA is the leading global provider of data, advanced analytics, technology solutions and clinical research services... Management organization across IQVIA Digital. You’ll oversee delivery across the MediaOS, Digital Media Data, AIM...
including leading the PPM Strategy Execution, Change Management and PPM improvement efforts Develops and leads PPM strategic... gatekeeper for budget management and performance on behalf of the PPM Chief of Staff. Oversees tracking of resourcing...
licensed in Kansas Five years clinical and/or management experience in a multidisciplinary health care setting which includes... and working with legal counsel on liability issues Oversee the incident reporting system, investigates root causes, analyzes data...
better for people around the world, like data driven drug discovery and connected clinical trials. We hire the best technology... medicines to those who need them, improve the understanding and management of disease, and give back to our communities through...