Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians
Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians
IT Systems Engineers are responsible for monitoring, installation, configuration, administration, troubleshooting and maintenance of technology solutions. They provide technical support, perform scripting/programming to ensure stable and efficient operation of technology solutions Important To Know This position
IT Systems Engineers are responsible for monitoring, installation, configuration, administration, troubleshooting and maintenance of technology solutions. IT Systems Engineers provide technical support, troubleshoot problem and perform scripting/programming to ensure stable and efficient operation of technology solutions.
Why Choose Suddath to “Move” your Career to the Next Level? At Suddath, you can be part of something special and inclusive! Join a team that has a 100+ year reputation for excellence as an innovative,
Project Manager - Public with Top Secret Clearance w/Some Travel Position Overview Project ManagerLocation MOSTLY Remote / with some travel Onsite (as required) Position Overview Client is seeking a highly motivated Project Manager to lead the
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as
Company Description Chamberlain With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive
Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on findings and procedures within strict timelines established by regulatory requirements. Authors within final
The Clinical Consultant provides clinical translation, validation, and adoption support for the Authorization Platform. This role ensures approved medical policy, utilization management criteria, and clinical workflow expectations are accurately reflected in platform design while maintaining appropriate human oversight,
Locations: Jacksonville, Florida Categories: Case Management Position Type: Regular Full-Time Req ID: 19381 Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We
Remote Clinical Review Pharmacist Work From Home Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home. Key Responsibilities Review
Remote Medical Coder Assess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Provide well-written, expert responses to operational healthcare scenarios for use in model training and
Physician Billing Compliance Analyst Under limited supervision, the Physician Billing Compliance Analyst will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville and the University of Florida Jacksonville Physicians
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within
Essential Duties and Responsibilities: - Supervise a team of employees through cultivation of a high performance team - Ensure adequate staff coverage for assigned program area - Serve as subject matter expert for identified area of
Job Description Essential Duties and Responsibilities: - Oversee and manage the Projects financial performance, including budgeting, forecasting, and analyzing profit and loss statements to ensure financial targets are met and profitability is maintained. - Ensure program