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Full-Time

Zelis is a healthcare information technology company and market-leading provider of end-to-end healthcare claims cost management and payment solutions. COMPANY BACKGROUND/CULTURE Zelis Healthcare is an information technology company which utilizes an end-...

Zelis, Inc.

Bedminster Township, NJ

Full-Time

Navigant Cymetrix is a full continuum healthcare revenue cycle solutions firm based in California. We are an innovative partner delivering customized revenue cycle solutions exclusively within the healthcare community. We are dedicated to understanding ou...

Navigant Cymetrix

2701 High Point Oaks Drive
Lewisville, TX

Full-Time

Description Charge Auditor performs primary functions of coordinating the process of capturing cardiac cath lab procedures. The auditor adheres to the philosophy of CHRISTUS, showing concern and the spirit of teamwork to visitors, patients, and fellow ass...

Shreveport, LA

Full-Time

Serving the community for nearly 60 years, SunriseHospital and Medical Center provides the most comprehensive, quality healthcarein Southern Nevada. As Las Vegas' largest acute care facility, Sunrise providessophisticated inpatient and outpatient services...

Sunrise Hospital and Medical Center

Las Vegas, NV

CAREERBUILDER APPLY

Full-Time

This position serves as the auditor for Quality Improvement (QI), Utilization Management (UM), and Clinical Grievances (GARS) oversight. This position will ensure regulatory (Medicare, Medi-Cal, Cal MediConnect) and accreditation (NCQA) compliance and ove...

Orange, CA

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CAREERBUILDER APPLY

Full-Time

Growing managed Care Company seeking a fulltime Medical Management Auditor for the Columbia, South Carolina facility. ThisNurse is responsible for the auditing of corporate, health plan, and specialtycompany staff related to clinical systems entry and/...

Columbia, SC

3w
3 weeks ago

Full-Time

The Clinical Auditor role is responsible for documenting areas of risk within the revenue cycle. Core operation is to discover opportunities post billing that will allow for appeals, system updates and process changes to prevent future losses/misses. Prov...

200 Corporate Boulevard
Lafayette, LA

today
today

Full-Time

This position entails reviewing and reconciling hospital claims, performing pre-audits on all accounts scheduled for defense audits by external auditors, performing concurrent audits on accounts meeting established payor and dollar criterion, and as reque...

El Paso, TX

CAREERBUILDER APPLY

Full-Time | Pay: $50k - $62k/year

Job description Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process and tools related to: authorizations, appeals,...

Columbia, SC

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CAREERBUILDER APPLY

Full-Time

The Professional Review Nurse provides analysis of medicalservices to determine appropriateness of charges on multiple types of medicalbills and review of medical reports to determine appropriateness of medicalcare. Clinical and/or technical expertise...

CorVel Corporation

N16W23217 Stone Ridge Drive
Waukesha, WI

Full-Time

Job ID #: 16101 Employment Type: Full - Time Location: Einstein Medical Center Philadelphia Weekends Required? No Rotation Required? No On-Call Required? No Entity Tabor Acute Care Department Health Information Mgt - TB Shift day Biweekly Hours 75 Experie...

Philadelphia, PA

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time

Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and l...

Long Beach, CA

Full-Time

Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools. Conduct training needs analyses to determine specific training needs for clinical staff Identify, select, or develop appropriate training progra...

Chesterfield, MO

Full-Time

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge sc...

Warwick, RI

Full-Time

Position Purpose: Develop, conduct, administer and analyze clinical training programs, conduct audits of clinical systems entry and/or processes, and assist in development of audit tools Develop and conduct clinical education courses, including case manag...

Austin, TX

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Full-Time

Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools. Conduct training needs analyses to determine specific training needs for clinical staff Identify, select, or develop appropriate training progra...

Maitland, FL

CAREERBUILDER APPLY

CNA

now
now

Full-Time

Welcome to Merit Training Institute! Don't wait another day to get the IN DEMAND skills you need to become employed! Contact us today at 609.386.6400 or visit our website: http://www.meritinstitute.com/ . Do you love your job? … Are you ready for a change...

Merit Training Institute

South | Central Jersey | Philadelphia, NJ

CAREERBUILDER APPLY

Full-Time

We are looking for a Registered Nurse (RN) who would like to be part of our Quality Improvement team! We strongly recommend RNs with the following: -Writing Skills -HEDIS experience -NCQA experience Job Description Job Summary Molina's Quality Improvement...

Long Beach, CA

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CAREERBUILDER APPLY

Full-Time

Ensign Services is currently seeking a General Ledger Accounting Manager for our satellite shared service center in Dallas, TX. The financial leader will report directly to the Mission Viejo Service Center and Operational leadership. This position will be...

Dallas, TX

Full-Time

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new...

McAllen, TX

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Full-Time

This position is responsible for preparation of proposals, negotiation of contracts, and administration of commercial and governmental contracts in accordance with company policies and legal requirements. Requires familiarity with a variety of healthcare...

Lafayette, LA

Full-Time

$5000 Sign-on Bonus! There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to...

San Antonio, TX

CAREERBUILDER APPLY

Full-Time | Pay: $75k - $90k/year

This is a terrific opportunity for a Clinical Manager (Heart and Vascular) to be part of a forward thinking acute care 210+ bed facility. This hospital is located in picturesque part of Eastern IN. The ideal candidate will be committed to both patient sat...

Lafayette, IN

CAREERBUILDER APPLY

Full-Time

The Judge Group is currently seeking a Registered Nurses for a REMOTE Nurse HEDIS Auditor Role This is a full time contract role This job will have the following responsibilities: Chart Reviews for this years HEDIS project Reporting findings from reviews...

Myrtle Point, OR

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time | Pay: 18k - 23k /year

Job Title: QA Associate Location: Louisville, CO Duration: Direct hire Pay: $18.00-$23.00/hr DOE POSITION SUMMARY Kelly Services is seeking a QA Associate that will work under the direction of the QA Director, the primary responsibilities are to conduct d...

Louisville, CO

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