The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clovers provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various
At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need.
Employment Type:Full time Shift:Day Shift Description: Purpose Work Remote Positon The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients under the supervision &
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
The Position Join our dynamic Global Compliance & Integrity Animal Health team as a Compliance & Integrity Manager with a strong focus on operational excellence, data, digitalization, and AI enablement. In this role, you will help shape and
Overview BerryDunn is seeking a Program Integrity Lead to support Hawaiʻi Med-QUEST (MDQ). This role will lead Medicaid program integrity activities related to fraud, waste, and abuse prevention; provider oversight; compliance monitoring; risk assessment; external audit coordination; recovery
Help Shape the Future of Pipeline Integrity and Risk Management Pipeline operators face increasing pressure to improve safety, reliability, regulatory compliance, and operational performance. At DNV, we help customers meet those challenges through industry-leading software, analytics, and
Position Summary: As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician
Data Integrity Associate Wayne State University is searching for an experienced Data Integrity Associate at its Detroit campus location. Wayne State is a premier, public, urban research university located in the heart of Detroit, Michigan where students from
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
JOB SUMMARY Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of
Your tasks ISCC – International Sustainability and Carbon Certification is one of the leading certification systems for sustainability, traceability and the reduction of greenhouse gas emissions. Our activities and impact are expanding and our teams are
Company Description Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
Overview: Part-time (0.6 FTE), 12-month Fixed Term position until August 2027 Salary HEW Level 6 + 17% Superannuation and Flexible Working Arrangements Based at the Melbourne CBD campus, and hybrid ways of working About You As
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