Job Description: Location & Work Requirements The operational model for this role is primarily remote, with required on-site components based on specific member and business needs. This operational model is subject to change based on evolving
Job DescriptionAs a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for
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IA Engineer The Opportunity: In this role, you will lead cybersecurity engineering efforts across the full system lifecycle for DoD collateral, SAP, and SCI environments. You will ensure security requirements are integrated into system architectures, designs,
Real World Biostatistician - Safety Experience (hiring in US and Canada) Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug
Coding Validation Auditors – 2 positions to fill 1 Surgical Coding Auditor: The ideal candidate will have experience auditing surgical/procedural coding and validating coding accuracy, documentation support, CPT/HCPCS and ICD-10-CM code assignment, modifier usage, and compliance with
Overview Make a Difference. Grow in Your Career. Thrive with Us. About the Role At Mindpath Health, we’re on a mission to make mental health care more accessible and more human. As a national leader in
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Job DescriptionServes as a strategic analytics partner to the Special Investigations Unit (SIU) and Payment Integrity teams by delivering actionable business intelligence, financial reporting, operational insights, and statistically sound audit support. This role combines advanced data
Remote Surgery Coding Specialist Location: Remote ( must reside in either Virginia, North Carolina, Florida, Texas) Schedule: Full-Time, Monday-Friday (40 hours/week) Start Time: Flexible, must work a consistent schedule About the Opportunity We are seeking an
Job DetailsJob Location: Cotswold - Charlotte, NC 28211Position Type: Full TimeEducation Level: High School Diploma / GEDTravel Percentage: NoneJob Shift: DayJob Category: Admin - ClericalPOSITION SUMMARY:The Billing Specialist III is responsible for maintaining assigned payer accounts
RN Care Manager The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan
Patient Revenue Management Organization At Duke Health, were driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us
Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis,
Sr. Payer Policy Analyst At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. Youll be inspired to discover more, develop new skills and pursue
Coding Specialist Since 1971, Wilmington Health has been committed to providing true care to our community in Wilmington and Southeastern North Carolina. Physician-owned primary care and multi-specialty medical practice, Wilmington Health provides a comprehensive, coordinated, and
RN Care Manager This role is up to 85% remote, with occasional in-person field visits to members as needed. This structure is subject to change based on business and operational requirements. The RN Care Manager (RNCM)
Wilmington Health Coding Specialist Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty
Service Access Nurse - Inpatient/Surgery Preservice Verification Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire an experienced Service Access Nurse who will embrace our mission of Advancing Health Together. Manage patient