- UNC Health (Chapel Hill, NC)
- …to advise management and departmental stakeholders on compliance issues and risk . -Must have advanced ability to listen carefully and follow directions. The ... of the unique communities we serve.Summary:Responsible for assisting Compliance management in all compliance activities which could include reviewing internal… more
- Trinity Health (Albany, NY)
- …as a compassionate and transforming healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for ... the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have… more
- Amazon (Seattle, WA)
- Description As a Business Analyst II on the Amazon One Medical At- Risk team, you will be the data insights engine that powers both new program launches and ... responsibilities * Lead complex analysis efforts using healthcare data (EMR, claims, clinical quality) to inform strategic decisions and program design * Develop and… more
- Penn State Health (Hershey, PA)
- …orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Risk Analyst Senior - Risk Management **Location** US:PA: Hershey | ... decrease risk exposure. Manage a portfolio of risk management projects, including continued evaluation of...areas to improve patient and staff safety and decrease clinical risk exposure. Responsible for administrative support… more
- Providence (Orange, CA)
- **Description** Risk Management Analyst RN- located at St Joseph Hospital of Orange, located in Orange, CA. Shift available is Full Time Days. St. Joseph ... Stroke Care, Women's Services and Best Mammogram Imaging Center. Supports the Risk Management , Regulatory Compliance and Patient Safety programs through… more
- University of Utah Health (Murray, UT)
- …responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's ... integrity of data, diagnose issues and test changes. + Participates in change management procedures to support accurate risk adjustment team documentation and… more
- CareFirst (Baltimore, MD)
- …Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will support the ... & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a...Experience in healthcare industry and deep understanding of Medicare risk adjustment ( clinical ,submission cycle, and financial experience).… more
- Insight Global (Boston, MA)
- …The BA will assist with enabling technologies that support Clinical Operations, Clinical Data Management , and Risk Based Monitoring teams. The ... Clinical Business Analyst will assist on multiple projects at a time,...Clinical experience working with Clinical Operations, Clinical Data Management , Risk Monitoring… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...risk adjustment model(s) and related data submission requirements. This… more
- HCA Healthcare (Nashville, TN)
- **Description** **Job Summary and Qualifications** The Senior Clinical Analyst supports implementations and ongoing support of HCA's standard Electronic Medical ... direction of the Ambulatory EHR AVP , the Senior Clinical Analyst assists with implementing Hospital Owned...with business partners across the enterprise, providing updates on risk and project status to local and corporate leadership… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Under general supervision of the Clinical Research Budgets Manager, the Clinical Research Financial Analyst (CRFA-II) is responsible for financial planning, ... with funding sources and vendors, and ensuring effective financial management throughout the lifecycle of Clinical Research...and problems and refers more complex issues to Senior Clinical Research Financial Analyst . In the absence… more
- CVS Health (RI)
- …ecosystem through robust data management practices. **Position Summary** As a **PA Data Management Analyst ** , you will play a key role in supporting and ... stakeholders. + Support ongoing initiatives aimed at automation, scalability, and proactive risk mitigation within PA operations. + Support Clinical Adjudication… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Research Financial Analyst functions as a key contact person between UMU clinical research departments and sites/hospitals finance ... analyses (CTCA) issues to ensure billing compliance and mitigate risk ; reviews budgets on a per-trial basis to ensure...ICF documents. Updates databases and spreadsheets as required, updates management regularly as to status of clinical … more
- Ochsner Health (New Orleans, LA)
- …- 2 years of experience in healthcare compliance, operations, regulatory compliance, risk management , audit, law, or related field. Preferred - Experience ... (MCA) for sponsored research projects. Configure studies in a Clinical Trial Management System (CTMS) to guide...knowledge of compliance concepts, applicable laws and regulations, business risk , effective risk management techniques… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis. This full-time role will primarily work remotely, but may ... when needed (Day). *Purpose of this position: *The Utilization Management Analyst plays a critical role in...ensure timely escalation and resolution * Collaborate with Care Management , Clinical Documentation Improvement (CDI), and Revenue… more
- RELX INC (Philadelphia, PA)
- …our Team Elsevier is singularly focused on helping healthcare professionals improve clinical outcomes through evidence-based care. Our generative AI team works on ... that our AI solutions meet rigorous standards for accuracy, fairness, and clinical relevance. The successful candidate will help evaluate model performance, analyze… more
- Union Hospital Health Group (Terre Haute, IN)
- You belong at Union! EPIC Patient Wellness and Care Management Analyst The Epic Patient Wellness and Care Management Analyst supports the implementation, ... email us at ###@union.health EPIC Patient Wellness and Care Management Analyst Details Essential Job Duties: +... Details Essential Job Duties: + . Collaborate with clinical and care management teams to gather… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Compliance Analyst II conducts investigations, risk assessments, and regulatory ... risk . **There are two pathways for the Compliance Analyst II (1: Compliance Billing, Coding, and Education ...Analyst ** Provides compliance oversight and support for assigned clinical specialties across URMC and Affiliates in accordance with… more
- Option Care Health (Bannockburn, IL)
- …include Security Awareness and Training, Third Party Risk , and Information Security Risk Management . The Security Analyst will also support Option Care ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...Training initiatives + Responsible for supporting the Third Pary Risk Management and Information Security risk… more
- CVS Health (Kankakee, IL)
- …change lives in new markets across the country. **Position Summary/Mission:** The Analyst , Case Management utilizes critical thinking and judgment to collaborate ... and inform the case management process. The Analyst , Case ...outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as… more
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