Healthcare Payer SME/Proxy PO
1 month ago
The Healthcare Proxy Product Owner/Domain SME translates business needs into clearly defined and documented detailed high quality requirements and/or supplemental specifications for new applications or analyzes change requests/enhancements in existing applications.
Analyzes data to determine business problems.Handles information including patient services and how the services are paid after conducting investigations and pursuing recoveries through contact with various parties.
The Analyst works collaboratively within or outside the team to identify charge system weakness to recommend changes and focused education.
Will also ensure adherence to compliance policies and contracts. Knowledge and experience of Medicare & Medicaid.Responsibilities/Tasks Reviews analyzes and evaluates business processes and associated IT application requirements. Develops and executes test strategies plans scenarios and tracks resolution to identified defects. Defines and documents business and IT system processes. Models AS-IS and TO-BE processes.
Conducts and facilitates JAD sessions to develop and coordinate the requirements specifications design and testing efforts for medium to large projects.
Analyzes business workflow and system needs for conversions and migrations; assists in data mapping. Conducts gap analysis and uses analytical skills to identify-
San Diego, California, United States Kindred at Home Full timeI believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence thats what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nations leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and...
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Data Administrator
6 days ago
San Francisco, California, United States Wipro Limited Full timeRequirements Shadow the Implementation team to become a subject matter expert (SME) on the Aurora and RDS Oracle databases as used within KRIS Connected Platform Administer Aurora using Postgres Tune SQL statements using Explain Plan Performance tuning Analyze SQL code Monitor automated backups and replication Perform backups and snapshot procedures...
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patient registration specialis
1 week ago
San Francisco, California, United States Dignity Health Full timeOverviewSaint Francis Memorial Hospital is an accredited not-for-profit community hospital that has been providing exceptional health care in San Francisco for more than 100 years. As San Francisco's only downtown hospital Saint Francis is uniquely situated to care for international and domestic visitors as well as the residents that make up San Francisco's...
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Wage Specialist
7 days ago
San Diego, California, United States Mission Healthcare Full timeThe Wage Specialist plays a crucial role in ensuring compliance with labor laws and company policies regarding meal periods, rest breaks, and other regulations. The wage specialist is responsible for planning, organizing, and managing our wage-hour programs by federal and state regulations. The Specialist is responsible for ensuring the compliance and...
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Cloud Software Engineer
1 month ago
San Francisco, California, United States platform Full timeis a groundbreaking hosting and development tool for web applications. We run dozens of cloud regions all over the world with a mix of clients, from individual developers running small development clusters to the biggest companies on earth, running some of their critical apps on us.For its groundbreaking PaaS solution, is looking for a Cloud Software...
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Front-End Software Engineer
1 month ago
San Jose, California, United States HEALTH[at]SCALE Technologies Full timeHealth at Scale is the market leader in precision health -- digital health programs that offer smart, hyper-personalized insights to help individuals choose the best providers, treatments, care settings and lifestyle choices for their unique healthcare needs. Founded by leading machine learning and clinical faculty from MIT, Stanford, Harvard and the...
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Software Engineer
1 month ago
San Jose, California, United States HEALTH[at]SCALE Technologies Full timeHealth at Scale is the market leader in precision health -- digital health programs that offer smart, hyper-personalized insights to help individuals choose the best providers, treatments, care settings and lifestyle choices for their unique healthcare needs. Founded by leading machine learning and clinical faculty from MIT, Stanford, Harvard and the...
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San Bernardino, California, United States San Bernardino Education Full timePlanned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Purchasing and Inventory Management Coordinator Float in San Bernardino, CA.The purpose of the Purchasing and Inventory Coordinator Float position is to provide a wide variety of administrative support to the Purchasing, Finance Department, and Health Center...
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Healthcare Payer SME/Proxy PO
4 weeks ago
San Francisco, United States QData Full timeThe Healthcare Proxy Product Owner/Domain SME translates business needs into clearly defined and documented detailed high quality requirements and/or supplemental specifications for new applications or analyzes change requests/enhancements in existing applications. Analyzes data to determine business problems. Handles information including patient services...
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Instock Planning Manager, eero
1 month ago
San Francisco, United States Amazon.com Services LLC Full timeThe eero Instock Manager is a member of the supply chain team and works closely with both supply and demand planners to audit and implement continuous process improvements. You will leverage your knowledge of demand forecasting, supply planning, customer allocation methodologies, and will serve as a SME within forecasting and inventory management systems....
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Clinical Audiologist
2 days ago
San Francisco, United States Staffing Proxy Full timeJob DescriptionJob DescriptionHearing and Speech Center (HSC) is a nonprofit organization dedicated to making hearing healthcare accessible to everyone in need and fostering a caring, supportive, inquisitive, and fun culture. To further its mission and reach more patients, the HSC in San Francisco is seeking a passionate Clinical Audiologist.One of the great...
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Business Development Director
6 days ago
San Francisco, United States Luminary Group LLC Full timeOur Client is seeking an experienced and results-driven Business Development Director with a strong focus on Real World Evidence (RWE). As a Business Development Director, you will be responsible for identifying and securing new business opportunities in the healthcare industry, specifically related to RWE solutions. You will play a crucial role in driving...
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Business Development Director
5 days ago
San Francisco, United States Luminary Group LLC Full timeOur Client is seeking an experienced and results-driven Business Development Director with a strong focus on Real World Evidence (RWE). As a Business Development Director, you will be responsible for identifying and securing new business opportunities in the healthcare industry, specifically related to RWE solutions. You will play a crucial role in driving...
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Clinical Audiologist
2 days ago
San Francisco, California, United States Staffing Proxy Full timeHearing and Speech Center (HSC) [ is a nonprofit organization dedicated to making hearing healthcare accessible to everyone in need and fostering a caring, supportive, inquisitive, and fun culture. To further its mission and reach more patients, the HSC in San Francisco is seeking a passionate CLINICAL AUDIOLOGIST. One of the great benefits of working at...
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AS400/Synon Developer
2 weeks ago
San Francisco, United States Diverse Lynx Full timeJob Title: AS400/Synon Developer Location: (Remote 100%) Duration: (Contract) Essential Responsibilities:Job summary: SYNON/2E version 8.7 (or above) generating OPM COBOL codes Ability to read and debug native COBOL programs Experienced in relational database table definitions in the SYNON model, able to define tables using the proper key structure and...
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EDI Analyst
2 weeks ago
San Francisco, United States Siri InfoSolutions Inc Full timeJob DescriptionJob DescriptionJob Title: EDI AnalystLocation: San Francisco, CA Hybrid (1 day in a week)Duration: 6-month + contract to hireJob Description-Bachelor's degree in computer science or business-related field;Strong knowledge of EDIFECS Healthcare Payer experience is a MUST.EDI experience in a healthcare environment, including experience...
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M.D./D.O. Health Systems Medical Director
3 days ago
San Francisco, United States ESR Healthcare Full timeM.D./D.O. Health Systems Medical Director - San Francisco, CA ba/ra Invitation Job San Francisco, CA Total Openings: 1 Req # : 3941321 | Type: Full Time | Posted: 5/4/2021 | Edited: N/A | Fee: 29% Percentage Computed On Base Salary YOUR TASKS AND RESPONSIBILITIES The primary responsibilities of this role, Health Systems Medical Director MD, are to: • Serve...
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Utilization Manager Ii
3 days ago
San Diego, United States Sharp Healthcare Full time[Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours**: **Shift Start Time**: Variable **Shift End Time**: Variable **AWS Hours...
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San Francisco, CA, United States SVAM International, Inc. Full timePosition: EDI Analyst Location- San Francisco, CA Duration- 6 months contract to hire Note: This is a hybrid position. 1 day/week onsite or 4 days onsite 1 week and rest 3 weeks remote. W2 candidates only Job Description: Looking for an EDI Analyst (not developer). Strong knowledge of EDIFECS and Healthcare Payer experience is a MUST. Candidates...
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Commercial Counsel
3 weeks ago
San Francisco, United States Collective Health Full timeWhat you'll do: Draft, review, and negotiate inbound, outbound, and partnership commercial agreements, including client contracts, master services agreements with key partners, vendor and SaaS agreements, data security/confidentiality agreements, and business associate agreements. Assist with counseling product and operations teams on issues including...
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San Diego, United States Stantec Full timeHealthcare Project Manager, Electrical Engineering - ( 240001PQ ) **Description** Stantec Buildings is on a mission to become the world’s leading integrated design practice. Our architects, engineers, interior designers, sustainability specialists, and technologists are passionate about the power of design. We take an innovative, collaborative approach...
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Collector 2
1 week ago
San Bernardino, United States Loma Linda University Medical Center Full timeShared Services: Billing/Collections (Full-Time, Day Shift) - Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. The Collector 2 analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices....
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Clinic Operations Manager
1 day ago
San Francisco, United States Medical Professionals Full timeWe are searching for a talented and experienced Clinic Operations Manager to oversee our ambulatory care services and drive excellence across all aspects of our clinic. Our team is dedicated to meeting the needs of our community and ensuring that every patient receives the highest standard of care!Responsibilities:Manage the daily operations of ambulatory...
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Clinic Operations Manager
1 day ago
San Francisco, United States Medical Professionals Full timeWe are searching for a talented and experienced Clinic Operations Manager to oversee our ambulatory care services and drive excellence across all aspects of our clinic. Our team is dedicated to meeting the needs of our community and ensuring that every patient receives the highest standard of care!Responsibilities:Manage the daily operations of ambulatory...
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Clinic Operations Manager
22 hours ago
San Francisco, United States Medical Professionals Full timeWe are searching for a talented and experienced Clinic Operations Manager to oversee our ambulatory care services and drive excellence across all aspects of our clinic. Our team is dedicated to meeting the needs of our community and ensuring that every patient receives the highest standard of care!Responsibilities:Manage the daily operations of ambulatory...
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Engineering Manager
1 week ago
San Francisco, United States Clipboard Health Full timeJob DescriptionJob DescriptionWhy Clipboard Health Exists:We exist to lift as many people up the socioeconomic ladder as possible. We dramatically improve lives, by letting healthcare professionals turn extra time and ambition into career growth and financial opportunity. We achieve this with our app-based marketplace that connects healthcare facilities and...
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Specialist, Payment Posting
2 weeks ago
San Antonio, United States Mpower Healthcare Full timeOverview About MPOWERHealth: For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what's complex, and we help them find a better way. Our best-in-class...
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Technical Project Manager
2 weeks ago
San Mateo, United States ClinDCast Full timeTechnical Project Manager "Manage IT, PTC and Fare Collection Projects - Prepare RFPs - Manage resources and deliverables, and dependencies in a matrixed team structure. - Develop and manage workplans for development, testing and deployment. - Project risk management - Domain knowledge of technologies needed for project" "Any of the above technologies - New...