Click to search for jobs

Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being reimbursed appropriately for services provided based on Medicare guidelines. This Medical Review Nurse Analyst reviews claims and delivers provider education on current billing and documentatio...

Fully remote position; requires availability during standard East Coast (ET) business hours.
With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that...

ABOUT AVOSYS
Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the foundation of our firm is our people and we continue to rise above our competition by hiring the best.
DESCRIPTION
Is it your calling to serve our Nation's Heroes? ...

Job Type
Full-time
Description
Who We Are
At the Eye Center of Northern Colorado, a Panorama Eyecare company, we are not just a team; we are a community of dedicated professionals united in our quest to provide the best eyecare anywhere. Our unflinching commitment to excellence and our core values are what make us an Employer of Choice. Join us in shaping the future of eyecare as we thrive tog...

Charleston ENT & Allergy has an immediate need for experienced and certified Medical Assistants to join our rapidly-growing team as Triage Medical Assistant. Our Clinical Care Connectors are our front line, interacting with patients and their families on a daily basis, and at every stage of the process. Triage MA's also provide real time support to not only our patients, but also to our provide...

CrossCountry Mortgage (CCM) is the nation's number one distributed retail mortgage lender with more than 7,000 employees operating over 700 branches and servicing loans across all 50 states, D.C. and Puerto Rico. Our company has been recognized ten times on the Inc. 5000 list of America's fastest-growing private businesses and has received many awards for our standout culture.
A culture where y...

Make banking a Fifth Third better®
We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.
GENERAL FUNCTION:
Performs brokerage and insurance regulatory sales supervision functions for the broker-dealer and insurance agency subsidiaries of the Bancorp. Mitigate risk of loss and regulatory risk incurred by Fifth Third...

What is special about Lighthouse?
Lighthouse is built on a foundation of unique, compassionate, highly driven individuals. We elevate the strengths and talents of those around us while leveraging opportunities for growth. We offer the experience of solving complex problems while continuing to grow multiple facets of your career. Lighthouse is where innovation meets support and where collaborat...

Company Description
Donor Network of Arizona's mission is to make the most of life through the gift of organ and tissue donation. We challenge ourselves and others every day to realize Arizona's potential to save and improve lives. Every employee at Donor Network of Arizona is responsible for embracing the organizational culture by upholding the Donor Network of Arizona's core values of Positiv...

Here at Lower, we believe homeownership is the key to building wealth, and we're making it easier and more accessible than ever. As a mission-driven fintech, we simplify the home-buying process through cutting-edge technology and a seamless customer experience.
With tens of billions in funded home loans and top ratings on Trustpilot (4.8), Google (4.9), and Zillow (4.9), we're a leader in the i...

Position Summary:
Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and p...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Supports peer-to-peer (P2P) processes, including scheduling P2P between Medical Directors and pro...

Cooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville, TN (remote position).
The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company procedures to maintain optimal data in...

Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustaina...

Job Description
Cetera Financial Group is currently seeking a Compliance Analyst for Ad Review. This is a unique opportunity to join our team to ensure that all retail communication complies with state and federal laws, rules and regulations, and internal standards. This also includes Federal and State Insurance Regulations as well as FINRA and SEC Rules. This position will work in the areas of...

Grant Review Specialist (GRS)
Department: Administration
Employment Type: Full Time
Location: Corporate Office - Washington DC Area
Description
The Grant Review Specialist (GRS) is responsible for administrative and operational support of multiple concurrent grant review cycles. The GRS position requires high level administrative support skills as well as critical thinking and attention to deta...

About OncoHealth
OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer ...

Position: Concurrent Review Ops Assistant
The Concurrent Review Ops Assistant is a key member of the Clinical Review Specialist Team that is responsible for critical administrative day-to-day tasks associated with operations to deliver transformative kidney care.
Responsibilities
* Assist in processing Health Plan(s) and Contracted Provider(s) daily files and uploads for all acute and post...

Primary location: Los Angeles, CA, Chicago, IL or Remote
Relocation offered: No
Employment status: Full-Time
Travel: >50%
Non-compete: No
The estimated base salary range for this role is $85,000 to $130,000 per year.
Individual pay is based upon location, skills and expertise, experience and other relevant factors
What does it mean to work at Arktura LLC, a subsidiary of Armstrong World Industr...

Primary location: Remote, Remote or Lancaster, PA
Relocation offered: No
Employment status: Full-Time
Travel: Non-compete: No
The estimated base salary range for this role is $65,000 to $80,000 er year.
Individual pay is based upon location, skills and expertise, experience and other relevant factors
What does it mean to work at Armstrong?
It means being immersed in a supportive culture that re...