Job Purpose The Director, Revenue Cycle Management is responsible for managing all operational aspects of our AR outsourcing engagements including overseeing their teams and maintaining a positive relationship with their clients. Duties and Responsibilities • Provide assistance/resolution
Imagine360 is seeking a Supervisor, Case Management to join the team! The Supervisor, Case Management is responsible for providing supervision to Case Managers and case management services under the group health plans by utilizing their nursing education, supervisory, clinical,
Job Purpose The Cash Management Representative is responsible for all elements of Cash Management which include but is not limited to: payment posting, allowance posting, electronical file processing, bank reconciliation and recording, batch posting reconciliation and recording, Co-Source
Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology
Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine
Become a part of our caring community Care Management Support Professional 1- SDOH The Care Management Support Professional 1 [Housing Specialist] contributes to administration of care management. The individual in this role provides non-clinical support to the assessment and
Summary As a Contract Management Lead at Gainwell, you will serve as an individual contributor responsible for leading the development, negotiation, interpretation and administration of contracts and contract governance across the enterprise. This role partners closely with
Job Description General Summary: The Senior Manager (SM) of Customer Master Data Management reports to the Director of Customer Master & Commercial Data Management in the Commercial Innovation Analytics Operations (CIAO) organization. This individual supports the Global Healthcare
Revenue Cycle Specialist II Credit Management Remote - (2600023N) Description A Brief Overview Position responsible for submitting and resolving medical claims moderate to high complexity. Must remain current with governmental and third party billing, follow-up and appeal
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to
Overview Position Overview: The Program Management Director is responsible for the successful delivery of Professional Services to a portfolio of HealthEdge customers. The Program Management Director works closely with Account Management, Sales and customers to understand customer needs and
Become a part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work
Become a part of our caring community The Director, Product Management will lead development of next‑generation IVR and conversational automation capabilities, including the modernization of our voice self‑service ecosystem. This role requires a leader with deep expertise
Gillette Childrens is seeking a Health Information Management Specialist I to join our team! This role is 1.0 FTE (40 hrs/wk); Monday - Friday, 8:00am to 4:30pm. This position will be a combination of on-site and remote
The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04’s, HCFA’s, etc. Responsibilities include verifying patient information, provider contact information,
The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04’s, HCFA’s, etc. Responsibilities include verifying patient information, provider contact information,
Become a part of our caring community Join the WI Market Medicaid team at Humana in as a Utilization Management Manager. In this role you will lead a team responsible for medical necessity reviews, provider outreach, and
Summary Lead the successful delivery of projects by managing scope, schedule, budget, resources, risks, and stakeholder expectations while ensuring compliance with project management standards and driving business results through effective team leadership and execution. The role does
Become a part of our caring community Join Humana’s journey to provide a highly reliable, accurate, and dynamic Configuration Management Database (CMDB) that serves as the digital foundation for our IT operations. Over the next few years,
Become a part of our caring community Humana maintains a robust clinical risk management function to ensure effective risk mitigation, control, and governance processes across Care Management and Utilization Management. The mission of the Medicare and Medicaid Operational Risk