- The Cigna Group (Bloomfield, CT)
- …tracks, monitors and reports on key program performance metrics, such as utilization, coding , and STARs/ quality performance + Assist in the STARS and clinical ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides...not limited to Health Services, Medical Economics, Sales and Coding in order to develop solutions for strategic business… more
- Highmark Health (Hartford, CT)
- …not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid ... , Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient… more
- Highmark Health (Hartford, CT)
- …, medical coding , clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines. Works closely with ... team members, and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk… more
- Edwards Lifesciences (Hartford, CT)
- …issues with payors as necessary. + Mastery of health economic and quality content: billing, coding , payment, coverage, policy, hospital finances, structural ... The Director, Global Health Economics and Reimbursement is a field based role responsible for working directly with hospital...heart valve products. + Mastery of health economic and quality content: billing, coding , payment, coverage, policy,… more
- Option Care Health (Hartford, CT)
- …potential compliance risks, including but not limited to Legal, Human Resources, Quality & Risk Management, Finance and Operations. Consults with Legal department on ... in healthcare administration, business administration, legal or justice studies, or related field . + At minimum 8-10 years of progressive experience in healthcare… more
- Mathematica (Hartford, CT)
- …firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our ... in computer science, public health, analytics, or other related field , or equivalent working experience. * 10+ years (for...Conceptual and practical knowledge of health data (eg commercial, Medicare , Medicaid, or APCD claims data; EHR and/or HIE… more
- Humana (Hartford, CT)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... the mission of Humana Healthcare Research (HHR) is to produce high- quality , actionable evidence and rigorous, peer-reviewed research to improve health outcomes,… more
- Cardinal Health (Hartford, CT)
- …+ 0-2 years of experience preferred + BA, BS or equivalent experience in related field preferred + Previous social work experience is preferred + LVN is preferred + ... effective, empathetic and professional communication + Clear knowledge of Medicare (A, B, C, D) + 1-2 years of...1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years of… more