subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC..... The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal and grievance process that meets...
. The clinical support specialist (CSS) provides administrative support to clinical staff within Member Health. The CSS... for authorization to the appropriate clinical reviewer. CSS reviews clinical documentation and determines at times what is being...
A dedicated and skilled CT Technologist is sought to join a healthcare team. This position offers an opportunity to make a significant impact on patient care by performing advanced imaging procedures in a state-of-the-art facility. If you a...
subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC...., Outlook and PowerPoint is required. Experience with Clinical Documentation Improvement preferred. Demonstrated knowledge...
, development, and management of preferred Stop Loss Carriers including compensation agreements. The Stop Loss Manager will be key... in strategic and operations management of CDPHP Self-Funding marketing and proposal support. The Stop Loss Manager’s duties...
and providing clinical case coverage in the operating room while also training surgeons on Smith+Nephew products through education... about forming relationships to increase sales revenue within the territory and impact patient outcomes! Resourceful consultants...
's Medical Management, Quality Improvement, and Resource Management initiatives in accordance with regulatory, accreditation... to, and serve as a liaison between the physician community and the Plan’s management Qualifications: MD...
. Minimum three (3) years clinical experience is required. Experience with chronic condition management required, experience... status. CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice...