- Northern Light Health (South Portland, ME)
- …Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Clinical Assurance Specialist exercises independent judgement in analyzing clinical ... of care, clinical orders and State and federal regulations. The Clinical Assurance Specialist collaborates with staff, Clinical and General Education… more
- Northern Light Health (Portland, ME)
- …Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Risk Management Specialist works under the general supervision of the Director of Quality and Director of ... Patient Safety at Northern Light Health. The Risk Management Specialist serves as a primary point of contact regarding risk. The incumbent is responsible for the… more
- Evolent (Augusta, ME)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... Specialist and use your expertise in interventional cardiology to...meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic… more
- Elevance Health (South Portland, ME)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding ... and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical...of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one… more