Performing initial research to help determine source of technical issues, and act as liaison between external clients and internal departments. Communicating with clients via face - to - face meetings, conference calls and written correspondence. Position Requirements Include:
Providing meaningful and appropriate reporting metrics to support the Compliance Monitoring Program. Qualifications for this position include: Minimum of three to five years of related experience with Medicare Prescription Drug plan and compliance.
Providing strategic actuarial advice to senior leadership. Working with a variety of Blue plans in an actuarial capacity. Required Skills: Strong technical skill set including SQL, SAS, and VBA. 5 years working in the health actuarial space. ASA or FSA preferred.
Ability to report work activity on a timely basis. Ability to perform research and draw conclusions. Strong PC knowledge and skills. Ability to interpret laws and regulations. Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases.
A coding support organization has an open position for a Telecommuting Review Consultant. Individual must be able to fulfill the following responsibilities: Review records assigned to ensure all codes reported are accurate to ICD-10 CM, PCS and/or CPT coding conventions.
Coordinate care and reassess member's needs. Ensure that members transition to a setting with adequate caregiving and functional support. Conduct face-to-face visits of all members while in the hospital. Position Requirements Include:
Supporting the medical writing team in the development of protocol design as well as CSR review and input. Interacting with Business Development for all proposal development support related to therapeutics for Oncology. Applicants must meet the following qualifications:
Taking advantage of working in a non-traditional school setting serving students with a range of disorders. Supporting students’ educational needs. Position Requirements Include: Bachelor’s Level Degree in Occupational Therapy. State Licensed/ Certification. AOTA Approved.
Supporting health plan operations. Required Skills: Three years of utilization management or discharge planning. Graduate of an accredited school of nursing. Active unrestricted RN license in the State of Arizona. Clinical experience in medical/surgical or specialty care.
Becoming supportive model for young children and adults with physical impairments. Working with a K-12 caseload. Connecting with those that are in rural areas. Required Skills: Master's Degree in Occupational Therapy. Communication Skills both written and oral. Must be certified.