UNKNOWN

FEED

This role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.

YEAR

Deloitte Touche Tohmatsu Ltd

Clinical Data AMS Sr. Consultant

Deloitte

ea_via_bold

FULL_TIME

OTHER

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

equestftpin

Positions are accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS and STARs gap closure, coding accuracy, facilitating effective education and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities through the use of data analytics, technology, workflow changes and clinical support. Positions in this function drive clinical relationships and engagement with physician practices, members, and pharmacies while partnering internally (with areas such as Network contract ACO mgrs, Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality and practice performance while reducing medical costs.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Practice Performance Manager - Remote resident in Hawaii

UnitedHealth Group Inc.

Practice Performance Manager - Remote Resident In Hawaii

Cloud Infrastructure Engineer, DevOps Engineer, Cloud Deployment Specialist, Cloud Systems Administrator, Cloud Solutions Architect, Cloud Operations Engineer, Site Reliability Engineer, Automation Engineer, Infrastructure Automation Specialist, Cloud Integration Engineer, Cloud Platform Engineer, etc. Computer Science, Information Technology, Software Engineering, Cloud Computing, Data Science, Cybersecurity, Systems Engineering, Network Engineering, Information Systems, Electrical Engineering, Computer Engineering, etc.

Cymertek

Cloud Automation Engineer

With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. Founded in 1921, Straub Benioff Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i.

HOUR

Hawaii Pacific Health

Licensed Practical Nurse - Ophthalmology

IRecruitee

With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. Founded in 1921, Straub Benioff Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawaii.

Licensed Practical Nurse - Float Pool Surgery

With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. These include interviewing, registering, admitting, updating and creating patients' medical records; performing accurate and timely processing of all professional/technical fees generated by department providers; and performing cash handling and collection.

Patient Service Rep - Urology

Licensed Practical Nurse - Plastic Surgery

Licensed Practical Nurse - Oncology

Assigned to J85, the position directly supports J07, entails hybrid work from Camp Smith and other local locations, receives functional priorities from J07 through established contract channels, operates with project and technical oversight from J85, and reports administratively to the Amentum Project Lead. This position serves as the DST's senior expert for infectious-disease surveillance, population-health trends, and epidemiological risk, acting as a primary liaison with civilian health agencies, academia, and foreign partners.

Amentum

Epidemiology Operations Analyst

Our staff is comprised of Maternal Fetal Medicine Specialists (physicians with specialized training and experience in the care of pregnant women and their fetuses, including high-risk pregnancies), technologists, genetic counselors and clinical nurses, all of whom are committed to helping our patients have the healthiest baby possible in a caring and nurturing environment. KMS operates exclusively for charitable, scientific and educational purposes, offering highly specialized care options at Kapiolani and building support for these services within Hawaii as a whole.

Coordinator, Clinical Operations - Maternal Fetal Medicine

Assigned to Camp Smith, the position directly supports J07, receives functional priorities from J07 through established contract channels, operates with project and technical oversight from J85, and reports administratively to the Amentum Project Lead. Senior operational-planning experience comparable to the O-4/O-5 or GS-13 level; 8+ years in military operations, Joint planning, Force Health Protection, CBRNE defense, biosurveillance, or public-health emergency management.

Biosurveillance Operations Senior Planner

This individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.

Medical Coding Specialist Jobs in Honolulu, HI

Clinical Data AMS Sr. Consultant Deloitte Touche Tohmatsu Ltd

Clinical Data AMS Sr. Consultant Deloitte

Provider Data Resolution Spec TriWest Healthcare Alliance

Practice Performance Manager - Remote resident in Hawaii UnitedHealth Group Inc

Practice Performance Manager - Remote Resident In Hawaii UnitedHealth Group Inc.

Cloud Automation Engineer Cymertek

Licensed Practical Nurse - Ophthalmology Hawaii Pacific Health

Licensed Practical Nurse - Float Pool Surgery Hawaii Pacific Health

Patient Service Rep - Urology Hawaii Pacific Health

Licensed Practical Nurse - Plastic Surgery Hawaii Pacific Health

Licensed Practical Nurse - Oncology Hawaii Pacific Health

Epidemiology Operations Analyst Amentum

Coordinator, Clinical Operations - Maternal Fetal Medicine Hawaii Pacific Health

Biosurveillance Operations Senior Planner Amentum

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