- Highmark Health (Honolulu, HI)
- …leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment projects to ... including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology...guide HCC coding decision making.Achieves and maintains coding productivity and quality accuracy metrics set… more
- Highmark Health (Honolulu, HI)
- …leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment projects to ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
- Jacobs (Honolulu, HI)
- …levels, and survey controllers + Produce clear and concise field notes and quality field data for office processing + Communicate with supervisor and office staff ... data download and reduction, field note reduction, calculations, processing, and quality control reviews + Collaborate with a multi-discipline team + Adhere… more
- Sedgwick (Honolulu, HI)
- …Most Loved Workplace(R) Forbes Best-in-State Employer Life Science Claim Specialist ( REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex claims specific to ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- Ryder System (Honolulu, HI)
- …objectives, schedules and resources for the respective group. Achieves accuracy, quality , timeliness and user satisfaction by managing the prescribed software ... with personnel from differing groups and management levels to produce high- quality work Capable of multi-tasking, highly organized with strong time management… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Medical Director's primary responsibility is the review of medical authorizations or claims ... of a given service or level of care. The Medical Director's work assignments involve moderately complex to complex...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- Renaissance (Honolulu, HI)
- …a lot of empathy, and a desire to do something meaningful. We've adopted a remote -first culture, and our diverse team is based across the US. Nearpod is a classroom ... core platform team. You can expect to introduce new coding patterns, features, and work to reduce complexity of...find success here if: + You enjoy writing high quality code and know your job is not just… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …related activities + Configure other modules within the EDC ecosystem such as coding , integration of IRT, safety system, local labs etc., + Knowledge of creating ... with appropriate partners including Clinical Operations, Clinical Supplies, IT, and Quality organizations + Be a primary change agent to ensure adoption… more
- Wolters Kluwer (Honolulu, HI)
- …multiple application teams to define and design for their functional and quality requirements . Work with deployment and operations personnel to ensure successful ... knowledge of serverless technology such as Azure App Services . Experience with quality up-front initiatives such as TDD, CI, and automated unit test frameworks .… more
- Cardinal Health (Honolulu, HI)
- …and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred * 1-2 years ... Ability to work with high volume production teams with an emphasis on quality * Intermediate to advanced computer skills and proficiency in Microsoft Office… more
- Cardinal Health (Honolulu, HI)
- …and pharmacy insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years' ... Ability to work with high volume production teams with an emphasis on quality preferred + Intermediate to advanced computer skills and proficiency in Microsoft… more
- Ford Motor Company (Honolulu, HI)
- …you believe data tells the real story? We do! Redefining mobility requires quality data, metrics and analytics, as well as insightful interpreters and analysts. ... team members across the organization. Although this is a remote opportunity, there is a preference for candidates with...Ability to write custom scripting, JavaScript, jQuery or other coding languages in web environments and tag management tools… more
- Ford Motor Company (Honolulu, HI)
- …responsible for the end-to-end development of AEM-based web applications, including coding , testing, debugging, and deployment. You will work closely with ... ** + Develop and maintain AEM-based web applications with high- quality , scalable, and performant code + Collaborate with UX/UI...work life that works for you, including: + Immediate medical , dental, and prescription drug coverage + Flexible family… more
- Cardinal Health (Honolulu, HI)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... creation, defect management, defect prioritization, KPI's to measure data quality , performance, entry/exit criteria for different environments and documentation… more
- Navient (Kailua Kona, HI)
- …full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps ... Learn more at www.xtendhealthcare.net Xtend offers competitive benefits including Medical /Dental/Vision, Generous Paid Time Off/9 Paid Holidays/Tuition Reimbursement/401k plan… more
- Humana (Honolulu, HI)
- …issues. Conduct code reviews, provide constructive feedback, and ensure adherence to coding standards, design principles, and quality guidelines. Advises leaders ... features and products to our customers. The Lead Software Engineer standardizes the quality assurance procedure for software, and lead and mentor a team of software… more
- J&J Family of Companies (Honolulu, HI)
- …be based at any of our MedTech Surgery sites - Cincinnati, OH or Raritan, NJ. Remote work options may be considered on a case-by-case basis and if approved by the ... security requirements and recommendations of security design solutions, complete quality documentation, threat modelling, penetration testing, software architecture review… more
- CHS Inc. (Honolulu, HI)
- …practices for application development across the organization, ensuring consistency and quality in software development. + Promote and integrate Agile, Scrum, ... modern methodologies and frameworks to streamline delivery processes and enhance product quality . + Lead the engineering team to ensure adherence to development… more
- Cardinal Health (Honolulu, HI)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... which would include defect management, release manager, and maintaining quality standards. **_Responsibilities_** + Design, develop, test, document Salesforce… more