analytics, AI, intelligent automation, and workflow orchestration. As our Analyst, Payer Accountability, you will help the... necessary. Here’s what you will experience working as an Analyst, Payer Accountability: Understand and navigate payor...
analytics, AI, intelligent automation, and workflow orchestration. As our Analyst, Payer Accountability, you will help the... necessary. Here’s what you will experience working as an Analyst, Payer Accountability: Understand and navigate payor...
our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide... what we do, as individuals and professionals, every day. The health record analyst performs specialized functions within the HIM Department...
Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability..., and compassion - must guide what we do, as individuals and professionals, every day. The health record analyst performs specialized...
, and preventative care. We are currently looking for a Managed Care Analyst to join our team. Reporting to the Director of Managed... and for contract department performance and accountability review. Responsibilities: Interprets managed care contracts...
with employees throughout the US and international locations. Our Service Delivery Analyst/Ops Lead role will be responsible.... This includes collaboration across teams, coaching/guiding teams to be subject matter experts for payer requirements to be as robust...
associated with Quality performance. The Health Data Analyst for Clinical Quality (Principal) will report to the Director... accountability for data models, analysis and recommendations based on the National Committee for Quality Assurance (NCQA) STAR...
Health, visit us at https://www.baptistfirst.org. The Financial Clearance Analyst, Team Lead shall be responsible to ensure..., and medical necessity. The Team Lead shall maintain a proficient understanding of third party payer regulations and guidelines...
Anticipated End Date: 2025-01-19 Position Title: Clinical Content Analyst Job Description: Clinical Content... Analyst Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live...
Description : The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits... and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...
Description : The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits... and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...
Description : JOB SUMMARY: The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment...: Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format Strong understanding of claims...
About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain... will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan...
Payers. Analyst is responsible for assisting Lead and Manager of Special Projects in problem solving, reconciling... and collection of payment variances for issues related to contract compliance and contracted payer performance using online tools...
and/or Financial Analyst experience. Job Summary: Develops and tracks meaningful metrics and key performance indicators.... Provide the data necessary to drive department accountability and achievement of metrics. Promote process standardization...
primary leader and decision maker for the services delivered in a little leaves center. This accountability includes team...-Certified Behavior Analyst (i.e., BCBA) and manages the day-to-day operations of their assigned center, by providing clinical...
Job title: Technical Specialist- Expert (HB, PB, Claims Analyst) Location: 3700 Wake Forest Rd, Raleigh, NC... to all scheduling and attendance requirements. Honesty, truthfulness, reliability, accountability Read, understand...
methodologies, particularly as applied to healthcare (payer and provider) business processes Strong knowledge of how to leverage... Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well...
required to obtain appropriate reimbursement from payers. Responsible for CDM compliance with governmental payer requirements through... issues within their specific area of accountability, such as analysis of timely contractual and liabilities or charge master...
& Contracting (P&C) team oversees all contractual relationships with payer level customers (PBMs; HMOs, GPOs) as well as working... problems. Exhibits eagerness to learn and ability to learn quickly. Competencies Accountability for Results - Stay focused...