- Insight Global (Philadelphia, PA)
- Job Description A large healthcare insurance company is looking to hire a Quality Management Credentialing Analyst to their Final Optical Check ... Quality Management team. This person will work alongside the credentialing team and Board Committee to develop and update policies, audit and review… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Organized and detail-oriented with strong communication and problem-solving skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist ... Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has...and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are… more
- Treasury, Departmental Offices (Washington, DC)
- …Departmental Offices of the Department of the Treasury in Washington, DC. As a Management and Program Analyst , you will be an expert advisor providing research ... human resources policies, programs, and issues. Responsibilities As a Management and Program Analyst , you will: Gather...improvement techniques. - working with data to identify data quality issues and work with the appropriate contacts to… more
- ProMedica Health System (Toledo, OH)
- …benchmarking, core measures, physician credentialing , clinical protocols, risk management , infection prevention and all other quality initiatives. 3. ... The Senior Data Analyst is responsible for developing accurate and consistent...unless noted otherwise* 1. Responsible for the routine data management /maintenance of Quality and Safety data systems.… more
- McLaren Health Care (Bay City, MI)
- …applications and outcome reports and/or analysis while maintaining data integrity and quality through system management activities. Provides CM, UM and Denial ... , utilization management , coding or billing + Certified Health Data Analyst (CHDA) * RHIT/RHIA credentials * Experience with databases, spreadsheet software and… more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- Board-Certified Behavior Analyst (BCBA) JobID: 13653 + Position Type: Specialist/Supervisor/Technician/ Specialist + Date Posted: 12/4/2024 + Location: ELSC Position ... Title: Board-Certified Behavior Analyst (BCBA) School: ELSC Reports To: Special Services Department Approved By: Board of Education Salary :$85,000 to $95,000 This… more
- Medtronic (St. Louis, MO)
- …and IT) while reporting directly into the US CRDN Field Inventory Analyst organization. This individual must be analytical, results oriented and highly organized ... may include the following and other duties may be assigned. Field Inventory Management + Daily engagement with multiple internal and external business partners to… more
- Advancing Beyond the Spectrum (Eldersburg, MD)
- …by two female minority BCBAs who wanted to provide the highest quality , evidence-based practices for children with developmental delays from diverse backgrounds. We ... service-first mindset that enables us to deliver the highest quality care to those we serve. We provide our...our communities. JOB SUMMARY The function of the Behavior Analyst (BCBA) is to plan, develop, and monitor treatment… more
- CVS Health (Annapolis, MD)
- …with heart, each and every day. **Position Summary** The Network Relations Sr Analyst supports our Medicaid Provider Experience programs to maintain provider risk ... management and positive relationships supporting high value initiative activities...activities with our Provider network. The Network Relations Sr Analyst will assist in driving coordination of internal and… more
- HCA Healthcare (Nashville, TN)
- …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing , health information management , customer service, payroll ... vary by location._** We are seeking a Senior Collections Analyst for our team to ensure that we continue...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- Medtronic (Minneapolis, MN)
- …**A Day in the Life** The role of Reimbursement Principal Reimbursement Analyst offers the opportunity to establish reimbursement for innovative new products and ... for the peripheral vasculature (arteries and veins) that significantly improve the quality of life for patients. These include treatments and therapies for… more
- Immigration and Customs Enforcement (Washington, DC)
- …and processes affecting the healthcare system, eg (Process improvement, risk management , patient safety, utilization review, and credentialing and privileging). ... include the Health Operations SharePoint site. Participates in policy making, planning/ management decisions, and processes that impact operations of the unit.… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating ... records updating existing provider records and working with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst… more
- Centene Corporation (Phoenix, AZ)
- …directory information + Research, review, and make updates within the provider data management system per provider requests + Perform quality service checks on ... operations (ie claims processing, billing, provider relations or contracting), provider data management , or credentialing in a managed care, insurance, or… more
- Deloitte (Washington, DC)
- …work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on ... builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and...as debugging and resolving any issues/defects. Work on provider credentialing and setup. Participate in the daily calls /… more
- AmeriHealth Caritas (Detroit, MI)
- …of trust, access, and quality care. As a Senior Provider Network Data Analyst , you'll be at the center of that mission, a vital connector between our health ... goals and lead meetings when needed. + Support provider recruitment, contract management , credentialing , and complaint resolution. + Conduct site visits,… more
- The Cigna Group (Providence, RI)
- …matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing ... RI and ME._** **_Preferred office location: Newton, MA_** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and… more
- Medtronic (Mounds View, MN)
- …collaboration, gathering information and providing direction for the development of Quality Management System (QMS) process documentation and driving consistency ... is seeking a highly skilled and motivated Business Process Analyst to join our team. The ideal candidate will...and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support.… more
- BrightSpring Health Services (Lansing, MI)
- …to help our clients thrive. We believe BCBAs should focus on delivering high- quality therapy, so we provide exceptional administrative and clinical support to make ... don't have to chase down sessions. + Reports- Our Quality Control team partners with you to review reports,...treatment staff, as needed, to help assist in case management and staff continuing training and development + Exercise… more
- WTW (Boston, MA)
- …+ Understanding of health plan utilization/case management processes, network management , credentialing , quality management , pharmacy ... executive summary for senior H&B stakeholders & client presentations, developing management reports and other activities. You will continually learn about North… more