- Ascension Health (Kalamazoo, MI)
- …years of applicable cumulative job specific experience required. **Additional Preferences** Previous Utilization Review Analyst (URA) required. **Why Join ... **Details** + **Department:** Utilization Management + **Schedule:** Part Time. As needed by department. M-F 6a-5p. 24 hours per week. + **Hospital:** Ascension… more
- Robert Half Accountemps (Lauderdale Lakes, FL)
- Description We are offering a contract for a Utilization Review (UR) Records Analyst (ABA) position in Lauderdale Lakes, Florida. This role is primarily ... * Familiarize yourself with regulatory compliance standards, payer requirements, and utilization review processes. * Work independently after training,… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient case ... the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- CaroMont Health (Gastonia, NC)
- …RAC for reversal of original determination. May serve on the Medical Record/ Utilization Review Committee, providing detailed logs of denial activity and appeal ... be cross trained to work for the Commercial Resource Analyst when the need arises. Act as liaison to...NC (NC license or multi-state (compact) license). Certification in Utilization Review / Management, Quality and/or Case… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …(VBC) initiatives. Assists in supporting the contracting regions with quality, utilization , and cost analysis. **Provider Network Performance Analyst I** ... monitors the Company's provider network with respect to quality and utilization performance standards. Develops standard reporting and analytics to support Value… more
- CVS Health (Hartford, CT)
- …skills to positively impact our patients' health. As a Medical Economics Analyst , you will provide consultative support and medical cost-based analysis of markets ... to improve our company's discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple… more
- Centene Corporation (Tallahassee, FL)
- …valid Florida clinical license. **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- TECO Energy (Ybor City, FL)
- …licensing record with in the IT asset auto discovery tool to maintain compliance. Review contract and license utilization to ensure compliance is maintained for ... Manage and maintain Hardware standards reporting and software licensing compliance reporting. Review contract and license utilization to ensure compliance is… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. **Responsibilities** Senior Employer Group Consulting Analyst Design and execute analyses and reports for clients and ... distributions and drivers of population health, and health care utilization , costs, and quality both within a population and...Performs other duties as assigned. Lead Employer Group Consulting Analyst Lead the design and execution of analyses and… more
- HCA Healthcare (Richmond, VA)
- …personal growth, we encourage you to apply for our Consulting EHR Support Analyst opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Consulting EHR Support Analyst you want with your current employer? We have an exciting opportunity… more
- HCA Healthcare (Hermitage, TN)
- …compelling, we encourage you to apply for our Consulting EHR Support Analyst opening. We promptly review all applications. Highly qualified candidates ... diversity and inclusion thrive? Submit your application for our Consulting EHR Support Analyst opening with HCA Healthcare today and find out what it truly means… more
- MTA (New York, NY)
- Assistant Transit Management Analyst I-II/ Associate Transit Management Analyst Job ID: 8347 Business Unit: New York City Transit Location: New York, NY, United ... Date Posted: Nov 6, 2024 Description JOB INFORMATION Title: Assistant Transit Management Analyst I-II/ Associate Transit Management Analyst (2705) First Date of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Provides the interface between clinical business teams (Case Management, Clinical Claims Review , Quality Management & STARS, Utilization Management, etc.) and ... Provides the interface between clinical business teams (Case Management, Clinical Claims Review , Quality Management & STARS, Utilization Management, etc.) and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Medicare Supplement, and individual plans. The Business Intelligence Programmer Analyst is responsible for transforming business requirements into BI technical ... BI project to support analytic deliverables and capabilities. The Sr. BI Programmer Analyst will have heavy interaction with our Business Analysts to ensure all… more
- Johns Hopkins University (Baltimore, MD)
- …planning and program development across 13 clinical Divisions. The Practice Management Analyst functions as an advisor to the Administrators, Faculty and Department ... work groups both internal and external to Johns Hopkins. The Practice Management Analyst performs regular performance measurement and analysis and reports on such to… more
- PPL Corporation (Allentown, PA)
- …on improving operational effectiveness and excellence. The Business Operations Analyst will prepare and deliver well-constructed business insights to management, ... with a passion to optimize the decision making process through rigorous utilization of data. **_THIS IS NOT A REMOTE POSITION._** Responsibilities Business… more
- Fairview Health Services (St. Paul, MN)
- …in order to act as first line support, trouble shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development ... **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible...with the Information Technology applications team to manage pre-upgrade review of enhancements and testing appropriate scripts to assure… more
- HCA Healthcare (Brentwood, TN)
- …opportunity compelling, we encourage you to apply for our Consulting Product Analyst opening. We promptly review all applications. Highly qualified candidates ... where diversity and inclusion thrive? Submit your application for our Consulting Product Analyst opening with HCA Healthcare today and find out what it truly means… more