- Insight Global (Los Angeles, CA)
- Job Description The Claims Review Coordinator is responsible for the investigation, documentation and resolution of denied claims in compliance with ... more
- CenterWell (Topeka, KS)
- …community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the coordination ... more
- HCA Healthcare (Denver, CO)
- …opportunity compelling, we encourage you to apply for our Medical Insurance Claims Representative opening. We promptly review all applications. Highly qualified ... more
- St. Luke's University Health Network (Allentown, PA)
- …is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, ... more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** Rush Copley Medical Center presents an exciting opportunity for a Clinical Risk Manager . The Clinical Risk Manager will ... more
- Baylor Scott & White Health (Rowlett, TX)
- …organizational risk is indicated, investigation of the event will be delegated to Corporate claims manager for further review . The CRM will participate, as ... more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** We are seeking a Clinical Risk/ Claims Manager with TriStar Centennial Medical Center to promote growth and unlock ... more
- Alight (NJ)
- …case management, or utilization review . + Minimum of 2 years as a Clinical Case Manager . + Registered Nurse, Nurse Practitioner, or comparable license with ... more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, ... more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative ... more
- Mount Sinai Health System (New York, NY)
- **Job Description** Senior Clinical Risk Manager The Senior Clinical Risk Manager serves as a resource to staff to enhance patient safety, promote ... more
- CVS Health (Columbus, OH)
- …and more compassionate. And we do it all with heart, each and every day. This Clinical Case Manager , Behavioral Health position is with My Care of Ohio and is ... more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …third party administrators, utilization review and management requirements. The Manager of Compliance and Clinical Operations will also have oversight ... more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager in the Department of Risk Management and Patient Safety is responsible for the day to day risk management ... more
- PeaceHealth (Springfield, OR)
- **Description** **PeaceHealth is seeking a Clinical Risk Manager in our Springfield (Riverbend) Location.** **This is not a remote position, applicant must be ... more
- PeaceHealth (Florence, OR)
- **Description** PeaceHealth is seeking a Clinical Risk Manager for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is ... more
- Masonicare (Wallingford, CT)
- RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager Clinical Reimbursement Masonicare Health Center - Wallingford, ... more
- Trinity Health (Albany, NY)
- … CLAIMS SUPPORT:** Works collaboratively with assigned Trinity Health Area Claims Manager and defense counsel to support discovery requests (access ... more
- Molina Healthcare (Columbus, OH)
- …by the Payment Integrity analytical team; requires decision making pertinent to clinical experience. Documents clinical review summaries, bill audit ... more
- CVS Health (Columbus, OH)
- …all with heart, each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is ... more
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