- Stanford Health Care (Palo Alto, CA)
- …Education (GME) affiliation agreements + Physician outreach and other academic/ clinical support contracts + Coordinate with internal department, affiliated entities, ... issues in clear, concise narratives to support strategic decision-making. + Provide analytical and subject matter support to broader strategic and financial… more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II (CPC)** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- Elevance Health (MD)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** **Location: Must be located in Maryland.** This field-based role ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- Highmark Health (Harrisburg, PA)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and represents non- clinical staff in discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new ... of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of… more
- University of Rochester (Rochester, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE The Compliance Analyst II conducts investigations, risk assessments, and regulatory monitoring to ... or reputational risk. **There are two pathways for the Compliance Analyst II (1: Compliance Billing, Coding, and Education Analyst,** **or** **2: Compliance… more
- Terumo Medical Corporation (Elkton, MD)
- Quality Engineer II Date: Oct 10, 2025 Req ID: 4925 Location: Elkton, MD, US Company: Terumo Medical Corporation Department: Quality Engineering Operations Terumo ... products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... solution of problems of organization, program, procedure, budget, or personnel. Option II : Two (2) years of highly responsible administrative or staff experience at… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... program, procedure, budget, or personnel. - OR - Option II : Two (2) years of highly responsible administrative or...Assistant III**, Assistant Hospital Administrator I , Contract Program Auditor , or higher. YouMUSTmeet one of the above… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... control systems. Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support… more
- The County of Los Angeles (Los Angeles, CA)
- …of Intermediate Accountant- Auditor , Accountant III or higher. PHYSICAL CLASS II - Light: This class includes administrative and clerical positions requiring a ... in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- State of Colorado (Denver, CO)
- …appropriate policies, writes RFP's, negotiates contracts/agreements, supervises staff who provide support and/or technical assistance and training to the division ... provides an interpretation of legislation, policy analysis, and fiscal note impact to clinical areas, testifies on bills if necessary, and represents the agency on… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more
- Stanford University (Stanford, CA)
- …submittal process. + Develop, prepare, revise, and finalize project budgets, and provide budget justification; obtain cost sharing commitment and support. Serve as ... technical expertise. + May participate as a mentor and provide cross-training as needed. + Initiate and participate in...+ Cardinal Research Administration Foundational Training (CRAFT) I and II must be completed to remain in this position.… more
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