Manager of Clinical Denials

**Optum** is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and...

Req Number 121818 Job Description Performs clinical laboratory procedures, examinations and other tests pursuant to established protocols including maintaining equipment and records, and performing quality assurance activities related to examination performance requiring the exercise of independent judgment and responsibility. Job Responsibility Performs...

Job Responsibility - Provides leadership to IT&S Process Management team members and supervisors by communicating and guiding toward achieving department objectives. - Develops, communicates, and builds consensus for goals in alignment with the health system. - Plans, manages, coordinates, and implements new technology, functions, and software for...

Under the leadership of the Manager Patient Care/ Director Patient Care, the Assistant Manager has shift related fiscal, clinical and operational accountability. The ANM is responsible for a direct care unit or units within Northwell Health. Utilizing the nursing process, the Assistant Manager Patient Care is responsible for creating a safe, healthy work...

Job Summary Project Methodology in the creation of the project plan. Defines and develops project plan including schedule and funding limitations, define required roles and tasks, and standard PMI PMBOK project management activities. Develops weekly status reports and modifies schedules Required Skills: MS Project, CA Clarity or related...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Req Number 125632 Job Description Assists laboratory personnel in daily accessioning activities. Performs pre-analytical processing of specimens and a variety of clerical duties in support of department. Job Responsibility Receives, sorts and performs accurate data entry for all specimens entering the laboratory. Receives and processes...

Prepares, reviews and negotiates contracts for industry sponsored contracts from initial request to final execution. Ensures contracts and supporting documentation are accurate and completed in a timely manner. **Responsibilities**: - Reviews, drafts and negotiates terms and conditions of a variety of agreements including clinical and no clinical products...

**Archer Administration Psychiatric Case Manager (Utilization Review)** **DESCRIPTION OF POSITION**: - The Psychiatric Case Manager supervises day to day functions of the department and staff. The manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. **RESPONSIBILITIES AND DUTIES**: - Prepares...

Archer Administration Psychiatric Case Manager (Utilization Review) DESCRIPTION OF POSITION: * The Psychiatric Case Manager supervises day to day functions of the department and staff. The manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. RESPONSIBILITIES AND DUTIES: * Prepares information for...

**Get ready to put your training into practice with the Physician Pathways Program at Optum.** As a part of the Optum network, **Optum Tri-State** is seeking career-minded final-year Primary and/or Specialty Care Residents and Fellows ready to get a head start on their clinical career with a forward-thinking organization that is transforming the future of...

***: Moore Medical Group is seeking a highly motivated individual with an expert knowledge of healthcare billing and coding with an emphasis on auditing and ensuring that all provider coding submissions are reviewed within 48 hours to confirm accuracy and optimization of CPT and ICD-10 codes. The individual will coordinate with central operations and finance...

Job DescriptionJob DescriptionJob Title: Patient Account Specialist Assignment Length: 12 Weeks Location: Lake Charles, LA, 70601 Shift: Days - M-F, standard day shiftDuties and Responsibilities:Provides medical collection services for collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed...

Job DescriptionJob DescriptionPride Health is hiring for a Medical Assistant to support our client’s medical facility based in Lake Success, NY. This is a 3 month assignment (Possibility of extension or conversion) opportunity and a great way to start working with a top-tier healthcare organization!Responsibilities:This role is to support the medical...

**NYU Langone Hospital-Long Island** is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient...

Northwell Health is seeking a full-time Research Scientist to join the Surgery Academics & Research Department. The Research Scientist is responsible for utilizing established methods, techniques, and procedures in the performance of standard scientific research while performing quantitative and qualitative data analysis and interpretation as part of a...

The Coding Compliance/Quality Supervisor demonstrates the ability to achieve individual quality performance in daily duties is team oriented and seeks to produce timely and high quality results. Reports to the MMG Coding and Reimbursement Manager. This position is accountable reviewing and seeking patterns in claim denials. This position will enact a Coding...

Overview : The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities Performs insurance...

Job DescriptionJob DescriptionPride Health is hiring for a Medical Assistant to support our client’s medical facility based in Lake Success, NY. This is a 3 month assignment (Possibility of extension or conversion) opportunity and a great way to start working with a top-tier healthcare organization!Responsibilities:This role is to support the medical...

Job DescriptionRESPONSIBILITIES* * * *1. Standards Compliance • Maintains current knowledge of and ensures compliance with all regulatory and professional standards of care which includes JCAHO, CMS, IHI, CAP, etc. • Utilizes creativity in developing quality/performance improvement programs, instructing staff and implementing new and improved standards....