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Medicare Stars Program Manager
A company is looking for a Program Manager, Medicare Stars & Quality Improvement (Remote)....and Project management experience Demonstrated knowledge of Star Ratings and Quality Improvement programs Operational Process Improvement experience Experience with Microsoft Project and Visio
Utilization Management Nurse Analyst
language that reflect medical necessity criteria Serve as a Subject Matter Expert and resource for engineering teams and developers Required Qualifications Bachelor's degree in nursing At least 3+ years of experience in an outpatient Utilization Management...program or equivalent clinical experience Familiarity with prior authorization submission practices General power user of technology and confident in navigating new applications Understanding of interpreting medical records to identify documentation
Certified Inpatient Coding Specialist
HCPCS/CPT in acute care settings Certifications such as RHIT, RHIA, CCS, CPC, or CIRCC, or completion within 6 months of employment Preferred: A.S. from an accredited Company Information Technology program or B.S. from an accredited Company Information Management...program
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Program Manager, Health Plan Quality Management
A company is looking for a Program Manager, Health Plan Quality Management.
Scientific Program Manager
A company is looking for a Scientific Program Manager to manage relationships with stakeholders and oversee nonclinical study packages.
Medicare Program Manager
A company is looking for a Medicare Program Manager III to enhance Medicare Supplemental Benefit efficiency and service levels....management experience Managed care or prescription benefit management experience preferred Experience with bid filing strongly preferred Equivalent experience may be considered in lieu of formal education
IRB Program Manager
A company is looking for an IRB Program Manager to supervise clinical research trials and ensure compliance with IRB policies and regulations.
Clinical Program Manager
A company is looking for a Clinical Program Manager to lead strategic projects for their Clinical team....Key Responsibilities Manage a program of Clinical projects, overseeing the entire project lifecycle Develop work plans, roles, and governance while onboarding new vendors as necessary Identify and resolve issues and risks, ensuring proactive communication
IRB Program Manager
A company is looking for an IRB Program Manager.
HEDIS Manager - New Mexico
Qualifications Bachelor's degree in Business, Company, or related field required; Master's degree preferred Minimum of five years in Company/managed care with experience in HEDIS/Medicare Star performance measurement Two years of prior supervisory or program.../project manager experience required Experience presenting to leadership teams, clinicians, and employer groups Intermediate/advanced skills in Microsoft Office
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