- Evolent (Washington, DC)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Highmark Health (Washington, DC)
- …job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible ... subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and… more
- Highmark Health (Washington, DC)
- …well as taking technical direction from and supporting the Lead Cost Accounting Analyst with respect to cost allocation rules and system processes required.80% ... and reporting associated with the organization's financial, operational, and/or clinical performance. As such, this role generates audience-specific summaries of… more
- Intermountain Health (Washington, DC)
- …site teams, external business partners/vendors, compliance, legal counsel, health information management , and designated areas in the response process. 5. Assists ... and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and… more
- Cardinal Health (Washington, DC)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more
- CenterWell (Washington, DC)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management , health plans /...necessary / required actions initiated by CMS * Oversee rules and regulations of ACO programs as outlined in… more
- Intermountain Health (Washington, DC)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... clinical staff. This Coordinator serves as a subject matter...service lines **Preferred** + Bachelor's degree in health information management (RHIT), health informatics, or related field from an… more