Healthcare Review Analyst

Job SummaryKYYBA, Inc is seeking a highly skilled Clinical Review Analyst to join our team. As a Clinical Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and...

Job DescriptionUse established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length of stay, including appeal requests initiated by providers, facilities and members.Will coordinate care through the...

Nevada Community Enrichment Program (NCEP) in Las Vegas, NV, a program provided by Accessible Space, Inc. is seeking qualified full time Healthcare Informatics Analyst to join our team. The Healthcare Informatics Analyst supports clinical services through data-driven initiatives using application and integration of informatics. Duties include but not...

You could say we're at the center of the center.Here at Edward Jones the client is our single focus and our relationships with them are the measure of everything we do. And Service and Operations divisions are at the center of it all. We support our clients, branch teams and headquarter associates in providing the best possible experience. Advocate for our...

Navient's wholly owned subsidiary Xtend Healthcare is seeking qualified professionals to fulfill a specific need at one of our key clients of EY (Ernst & Young). These full-time Navient Xtend Healthcare employee positions offer flexibility, attractive pay including premium-paid overtime, and an attractive benefits package (e.g., heavily subsidized insurance,...

Utilization Review SpecialistAcadia Healthcare Inc. is seeking a highly skilled Utilization Review Specialist to optimize reimbursement and ensure the best possible care for our patients.Optimize Reimbursement and Patient CareConcurrent and Retrospective ReviewsLiaison and CollaborationStaff Management and DevelopmentProgram Evaluation and ComplianceKey...

Role: Sr Automation Analyst / Sr Business Systems Analyst Job Description: Relevant Experience (Years): 10 Years Experience required Bachelor’s in Business Administration, Healthcare Management, Information Technology, or a related field Must have 5+ years of experience as a Automation analyst / Business Systems Analyst Extensive experience in...

Financial Operations Analyst - Corporate | Summit Healthcare Mgmt | Franklin, TennesseeAbout the Job:The Operations Analyst tracks and enhances data processing, analysis and reporting. The Operations Analyst will support the senior financial operations leadership team with data needs as they relate to each facility. The Analyst will pull data from a variety...

Board Certified Behavior Analyst (BCBA), School-Based Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team throughout Hawaii. Invo is the nation's leading provider of behavior, mental health and therapy services in schools, centers and communities. To qualify, applicants must: Hold an active...

Board Certified Behavior Analyst (BCBA), School-Based  Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team throughout Hawaii. Invo is the nation’s leading provider of behavior, mental health and therapy services in schools, centers and communities.  To qualify, applicants must: Hold an...

Board Certified Behavior Analyst (BCBA), School-Based  Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team throughout Hawaii. Invo is the nation’s leading provider of behavior, mental health and therapy services in schools, centers and communities.  To qualify, applicants must: Hold an...

Board Certified Behavior Analyst (BCBA), School-based ? Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team in the Austin, TX area. Invo is the nation's leading provider of behavior, mental health and therapy services in schools, centers and communities. To qualify, applicants must: Hold an...

Board Certified Behavior Analyst (BCBA), School-based?Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team in the Austin, TX area. Invo is the nation’s leading provider of behavior, mental health and therapy services in schools, centers and communities.  To qualify, applicants must: Hold an...

Board Certified Behavior Analyst (BCBA), School-based ? Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team in Lakewood, WA. Invo is the nation's leading provider of behavior, mental health and therapy services in schools, centers and communities. To qualify, applicants must: Hold an active...

Board Certified Behavior Analyst (BCBA), School-based?Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team in the Austin, TX area. Invo is the nation’s leading provider of behavior, mental health and therapy services in schools, centers and communities.  To qualify, applicants must: Hold an...

Board Certified Behavior Analyst (BCBA), School-based?Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team in Lakewood, WA. Invo is the nation’s leading provider of behavior, mental health and therapy services in schools, centers and communities. To qualify, applicants must: Hold an active...

Board Certified Behavior Analyst (BCBA), School-based?Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team in Lakewood, WA. Invo is the nation’s leading provider of behavior, mental health and therapy services in schools, centers and communities. To qualify, applicants must: Hold an active...

Title: Business Analyst V Location: Lansing, MI (2-days onsite, 3-days remote Hybrid) Note: This role is NOT open to C2C or 3rd party candidates We are looking for a Business Analyst V to provide excellent customer service, supporting both project and work request needs. This person will have the opportunity to join in-flight projects focused on...

Local Client **Must be onsite in Lansing, Michigan 2x / week**Looking to bring on an experienced IT Business Analyst. This person will have the opportunity to focus on implementing new IT solutions to provide increased efficiencies and public support for impactful projects.These IT solutions leverage current technologies and include working with multiple...

Job DescriptionJOB DESCRIPTIONJob SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...