**JOB DESCRIPTION****Job Summary**Utilizing 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...
JOB DESCRIPTION Job Summary The role is responsible for establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina...
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based...
Duties Description DUTIES DESCRIPTION: Under the supervision of a Lead Business Analyst, this POSITION will work with HESC FAS Modernization Project and other Program teams on an array of duties including but not limited to: 1.
$5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...
PATIENT CARE ASSOCIATE - EMERGENCY ROOM Job Type: Full-Time (Day Shift) & Part-Time (Night Shift) Salary: $24.95/hr. - $25.49/hr. About Jamaica Hospital Medical Center: Jamaica Hospital Medical Center, a...
TravelNurseSource is working with Coast Medical Service to find a qualified PACU/Pre-Post Op RN in Albany, New York, 12208! Pay Information $2,301 per week About The Position Coast Medical Service is a nationwide...
Duties Description The New York State Education Department's (NYSED) Office of the Professions (OP) is seeking candidates for a Project Assistant position in the Office of Tech Team. Under the direct supervision of the Supervisor of Administrative...
**JOB DESCRIPTION****Job Summary**Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including...
100% telecommute. Hours: 8am - 5pm PT Interview Process: 3 rounds via video. Description: The role is for a Sr Project Manager II (Master Scheduler) on the...