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Job ResponsibilitiesConfirms coverage of claims by reviewing policies and documents submitted in support of claimsDirects and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savingsAnalyzes coverage and communicates coverage positionsPrepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.
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Manipulates and extracts Medicare, Medicaid, and other healthcare claims data stored in Cloud environment using appropriate software such as SAS, Snowflake, Python, R, SQL, and other software as appropriate for the task.
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This position in Healthcare Claims will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation.
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At Sodexo, we offer Dietitian positions in a variety of business segments, including Schools, Universities, Healthcare and Senior Living locations across the United States. Sodexo is seeking Full-Time Registered Dietitian to come join their dynamic clinical team at PeaceHealth Sacred Heart Medical Center at Riverbend; a 388-bed acute care hospital located in Springfield, Oregon, one of two Sacred Heart facilities in the Eugene-Springfield area owned by PeaceHealth.
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What you need as a Nurse Aide Trainee No experience is required; however previous experience in a geriatric role is preferred About our parent company Guardian Healthcare Guardian Healthcare is both our name and our philosophy.
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Demonstrated success overseeing and directing Talent Management system (e.g., LMS, CMS, HRIS) implementation, migration, integration, and administration. Develop and oversee Talent Management initiatives such as a talent review, leadership development, career programs, succession planning, and learning and development.
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Previous Home Healthcare and Med-Surgical experience preferred. ChristianaCare is a not-for-profit teaching health system with our outstanding, data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.
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100% paid healthcare; optional pet insurance. Experience leading meetings with various members of management (both clients and target companies) Are empowered without management watching over their shoulders.
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Quality of revenue for healthcare companies. Leading management meetings. Monthly team outings (think: axe throwing, top golf, go-kart races) Act as the public speaker and public relations representative of the company in ways that strengthen its profile.
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Highly competitive salaries, unlimited PTO, great work life balance. Unlimited PTO and incentives + support to use it. Experience in Big 4/public accounting performing audits and related services for a diverse client base, and at least 7-8+ years of transaction services / due diligence experience.
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Our outpatient-only practice is actively seeking a board-certified pain management nurse practitioner to join our dynamic team. Pain Management Nurse Practitioner (NP) John Flynn, Senior Director of Recruiting at AMN Healthcare, represents this search and would like to provide you with further details.
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Embark, a 6X Inc 5000 fastest growing company, is a new kind of business advisory firm with our sights set on $1B+. Our goal is to enable busy clients to think less about work and more about what's most important to them - families, soccer practice, vacation.
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We make life easier for finance, accounting, HR and technology leaders, and their teams, by solving their most complex problems with forward-thinking solutions and inimitable hospitality. We do this by hiring difference makers who love what they do and supporting their whole human development - emotional, physical, spiritual, social, psychological and professional - empowering them to execute excellently for clients.
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Dependent on ongoing client requirements, employees may also be asked to submit to a drug screening and background check throughout employment. Upon offer of employment, employees will be asked to submit to a background check and drug screen.
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Microsoft Office proficiency with a focus on strong Excel and PowerPoint skills. All the technology you'll need to be successful, the most advanced software,& accessories to ensure you get the job done in style.
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healthcare management jobs Company: Gentle Dental Careers in San-antonio, Texas
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