- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor while ... and escalate to senior leaders for decision making + Apply their clinical knowledge when assessing/auditing medical records and UM letters against medical necessity… more
- Blue KC (MO)
- …holidays, paid time off and volunteer time off** **Professional development courses, mentorship opportunities, and tuition reimbursement program** **Paid parental ... Uses standardized tools to complete assessments in the areas of clinical , functional, financial, support system, psychosocial and cognitive and environmental realms.… more
- HCA Healthcare (Nashville, TN)
- …of the physician, property builders' risk and bond program. The Associate Underwriter gathers information throughout the system, maintaining database integrity for ... and certificate issuance processes and provides process improvement feedback to Director of Insurance. Assist with providing accurate and timely data enhancement… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network ... Coding Sr. Manager is responsible for leading the research development , proposal, implementation, and maintenance of BCBSMA's Corporate Payment Reimbursement… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... work? Summary: + Serves as an adjunct to the Director of Behavioral health in coordinating utilization management and...correction of accounts as needed. + Assists in the development of policies and procedures related to registration and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …healthcare? Bring your true colors to blue. What we need: Reporting to the Director of National Sales, this role will oversee a portfolio of national customers. This ... goals with recommendations for BCBSMA plan designs, wellness and clinical teams and additional options + Manages internal and...an employer, we are committed to investing in your development and providing the necessary resources to enable your… more