- Molina Healthcare (New York, NY)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... more
- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance ... more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager Patient Services Hub Operations Date: Feb 20, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59321 ... more
- Molina Healthcare (New York, NY)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... more
- Robert Half Finance & Accounting (Newark, NJ)
- …coding and reimbursement guidelines. Responsibilities: * Oversight of the submission process for claims to Medicaid, Medicare , NJ Fee-for-service, and ... more
- Molina Healthcare (New York, NY)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... more
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function as a Section Manager who will, under the general direction of the Excess Income/Surplus Director, with ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …includes: + Performs data quality reviews on Inpatient Clinical Documentation Improvement (CDMP) records. + Validates the (International Classification of Diseases ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate patient status based on ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status based on ... more
- Molina Healthcare (Manhattan, NY)
- …company and/or outside resources; enrollment paperwork materials required to appropriately process members' application for enrollment, and CHA Tasking Tool based on ... more
- Elevance Health (Woodbridge, NJ)
- …to contract terms. + Collaborate with clinical teams to identify areas for quality improvement related to contract requirements and patient care. + Lead and mentor a ... more
- Mount Sinai Health System (New York, NY)
- …on a daily basis. 14. Participates in system development and process improvement by providing feedback to Manager regarding issues in registration and change ... more