- Humana (Carson City, NV)
- …of our caring community and help us put health first** The Sr . Value-Based Programs professional supports successful value-based provider relationships with a focus ... performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care +...VBP financial modeling and impact analysis + Experience performing claims data analysis to inform VBP provider performance +… more
- Amentum (Carson City, NV)
- The ** Senior Director of Contracts** will report to the Vice President of Contracts and lead the Contracts team supporting the Critical Missions operating group at ... Amentum. The Senior Director will provide strategic direction and functional expertise...and interfacing with the government and commercial customers. Provides training to technical, program and other functional staff on… more
- Universal Health Services (Reno, NV)
- …and may require travel to out of state for in person provider education and training . The Senior Coder will be required to maintain consistent and reliable ... the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Coder is responsible for documentation and coding review of medical… more
- Lincoln Financial Group (Carson City, NV)
- …72347 **The Role at a Glance** This role is for a hands-on Senior Software Engineer (Java-focused primarily) to join Lincoln's emerging Employer Benefits & Insurance ... exchanging activity/data between internal systems of record (including Admin, Policy, Claims systems, etc) and partner platforms (including Workday, ADP, Plansource,… more
- Walgreens (Reno, NV)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Cardinal Health (Carson City, NV)
- …for business clients. **_Job Summary_** We are currently looking to fill a Senior Legal Counsel role for the Cardinal Health at-Home Solutions ("AHS") business, a ... with critical products and services required for hospital-level care at home. As Senior Counsel, you will report directly to the Vice President, Legal, supporting… more
- Prime Therapeutics (Carson City, NV)
- …A successful Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Preferably Remote in the California market… more
- Highmark Health (Carson City, NV)
- … quality .20% + Develops and presents process improvement and training initiatives to improve efficiency and accuracy of departmental coding practices.Regularly ... audits. Works closely with colleagues, leadership, enterprise matrix partners (such as quality and compliance), and/or physicians to identify and deliver high … more
- Humana (Carson City, NV)
- …value-based payment (VBP) model design and administration. The Data and Reporting Sr . Professional integrates data from multiple sources to produce requested or ... utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. + Scorecard creation and… more
- Humana (Carson City, NV)
- …partners and associates. We seek to (1) ensure members receive safe, high- quality and cost-effective care in a timely manner, (2) create best-in-class experiences ... clinical categories + Work hand-in-hand with Clinical Strategy, Clinical Operations, Claims , Markets to shape new initiatives, providing input on best practices,… more
- Humana (Carson City, NV)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Prime Therapeutics (Carson City, NV)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... Successfully complete required training sessions and continuing education credits. **Responsibilities** + CFE - Certified Fraud Examiner credential preferred. +… more
- Walgreens (Gardnerville, NV)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... & champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor....and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen… more
- Walgreens (Reno, NV)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Humana (Carson City, NV)
- …financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. + Monitor VBP model ... + Manage VBP portfolio to KPIs agreed upon with senior leaders. Present regularly to senior leaders...positive work environment that promotes associate retention and high quality , timely products. **Use your skills to make an… more
- Air National Guard Units (Reno, NV)
- …and emergency responders, specialized teams, and wing personnel. Conducts specialized EM training for senior wing leadership (ie, EOC responsibilities). Develops ... and procedures as needed to find ways to improve quality , timeliness, and efficiency of work and provide comprehensive...must provide transcripts or other documentation to support your Training /Educational claims . To receive credit for … more
- Humana (Carson City, NV)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) Years ... the Indiana Pathways program to assist the Utilization Management, Care Management, and Quality departments' staff to understand the complex needs and care of older… more
- Lincoln Financial Group (Carson City, NV)
- …We are excited to bring on a Manager, Contracts to join our Group Protection Claims & Operations Team in one of the following key city offices Dover, NH (New ... for you, please read on! **What you'll be doing** + Oversee the hiring, training , and development of a team of contracts analysts. + Supervise the daily… more
- Mina Group (Truckee, CA)
- …Resorts. The Restaurant Manger contributes to the planning, organization, and training necessary to achieve restaurant objectives in sales, costs, employee ... retention, communication and awareness, guest service and satisfaction, food quality , and compliance. GENERAL EXPECTATIONS + Act with integrity, honesty and… more
- City of Reno, NV (Reno, NV)
- …tools, and equipment; verify and inspect incoming shipments for appropriate quantity and quality ; sign for items as appropriate. Obtain price quotes for parts and ... a parts warranty process across multiple vendors. Process warranty claims and provide support to vendors and internal staff...in the absence of the Equipment Service Writer or Senior Equipment Service Writer. Plan, organize, order, and stage… more