- Parexel (Lincoln, NE)
- …Health Authority inspection, worldwide. + In collaboration with the Global Inspection Coordinator and Head of CQO, maintain and QC the global inspection tracking ... and Education:** + Bachelor's/ Master's Degree or equivalent in relevant health care area. Further formal education in quality management or business management is… more
- Intermountain Health (Lincoln, NE)
- …Description:** Responsible for clinical support and coordination related to value based care (VBC) programs. Works in an advisory capacity to support standards of ... care **MUST LIVE IN COLORADO** **This position is day...requirements.** Assists with scorecard initiatives by working with assigned care providers program metrics. Uploads and reviews quality documentation… more
- Intermountain Health (Lincoln, NE)
- …Description:** Responsible for clinical support and coordination related to value based care (VBC) programs. Works in an advisory capacity to support standards of ... care + **MUST LIVE IN COLORADO** **This position is...position with NO on call requirements.** Participatesinhuddles with primary care practices to assist with scorecard initiatives with assigned… more
- Centene Corporation (Lincoln, NE)
- …flexibility. Nebraska Residency Required **Position Purpose:** Supports administrative care management activities including performing outreach, answering inbound ... Provides outreach to members via phone to support with care plan next steps, community or health plan resources,...ongoing education for both the member and provider throughout care /service + Provides support to members to connect them… more
- Public Consulting Group (Lincoln, NE)
- …(HFW) is a highly structured, team-based collaborative model with a single accountable care coordinator that adheres to the fidelity of the model, convenes ... members of the family's social support network to build an individualized plan of care that incorporates formal and informal services and supports to meet the unique… more
- CVS Health (Lincoln, NE)
- …1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Lincoln, NE)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...policies and procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …health approaches at a local level through education, outreach, monitoring, care and coordination of activities related to suicide prevention. Responsibilities The ... Coordinator serves as the VA medical facility subject matter...online tools, training materials, and resources to enhance the care provided to Veterans and raise awareness among community… more
- Evolent (Lincoln, NE)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for… more
- CDM Smith (Lincoln, NE)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal ... other duties as required. \#LI-LP2 **Job Title:** FEMA - Coordinator **Group:** WAF Field Mod Fringe **Employment Type:** Temporary...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- Cardinal Health (Lincoln, NE)
- Coordinator , Collections **_What Collections contributes to Cardinal Health_** The Accounts Receivable Collections team is responsible for the collection of ... building relationships of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and resolution of… more
- Prime Therapeutics (Lincoln, NE)
- …drives every decision we make. **Job Posting Title** Sr Member Outreach Coordinator - Remote **Job Description** Responsible for proactively managing all outbound ... information to ensure member records are complete and accurate + Assists Customer Care Associates and provides guidance with complex issues + Other duties and… more
- CVS Health (Lincoln, NE)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The **Senior Coordinator , Proposals** contributes strategic and technical support for the sales process.… more
- Cardinal Health (Lincoln, NE)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... specific to open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors, Patient Navigators,… more
- Cardinal Health (Lincoln, NE)
- …obtain authorization for all requested procedures, tests, drugs, etc. The Senior Coordinator , Benefits Eligibility and Authorization may be asked to perform other ... need to happen in order to not delay patient care . + Complete any pre-service appeals to obtain paying...preferred + Strong customer service background, preferably in health care environment + Excellent verbal communication skills + Competence… more
- Datavant (Lincoln, NE)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... to realize our bold vision for healthcare. As Datavant's PEND Management Coordinator , you will be responsible for managing PEND inventory, coordinating closely with… more
- Lincoln Financial (Lincoln, NE)
- …to clinical operations by requesting/retrieving medical records from health care providers and processing physician file preparation/assembly, records scan requests, ... and medical invoices for payment. You will follow-up with health care providers as needed to inquire on the status of records requests to ensure timely handling.… more
- Cardinal Health (Lincoln, NE)
- …accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. ... years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid preferred +… more
- Highmark Health (Lincoln, NE)
- …Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail ... pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Intermountain Health (Lincoln, NE)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups),… more
