Job Summary: The Director, Pharmacy Clinical Strategy leads the strategic development of formulary management best practices & industry-leading, market-competitive formulary and medical drug strategies across all CareSource lines of business and markets. Essential Functions: Ensures the
Job Summary: The Program Integrity Medical Coding Reviewer III supports most complex medical record audit programs, dispute management, escalation management and generates concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes.
Job Summary: The Quality Risk Adjustment Advisor IV is responsible for leading key components of the Quality Risk Adjustment (QRA) programs, including prospective programs, chart retrieval and coding processes, while ensuring compliance with regulatory standards and optimizing
Requisition Number: 28819 Required Travel: 11 - 25% Employment Type: Full Time/Hourly/Non-Exempt Anticipated Salary Range: $96,824.00 - $138,320.00 Security Clearance: TS/SCI Level of Experience: Mid This opportunity resides with Warfare Systems (WS), a business group within HII’s
About Concept Plus Concept Plus is a mission-focused technology solutions provider that transforms IT concepts into impactful solutions for federal agencies. Headquartered in Fairfax, VA, we bring the agility, responsiveness, and customer intimacy of a small
Dayton Area Float Clinical Manager About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be
Worker TypeRegular Job Description Job Description AV’s Specialized Exploitation & Targeting (SET) Department is seeking a mid-level Software Engineer to support NASIC at Wright-Patterson AFB. You will write and maintain multiple source code repositories for data
Overview Intrepid Solutions is currently supporting the National Air & Space Intelligence Center (NASIC) providing IT support services across multiple contract task orders. This is a NEW MULTI-YEAR contract. The program supports diverse needs providing employees
Akicita Federal is hiring Nurse Practitioners to deliver direct primary care services to veterans through the Dayton VA Medical Center in Dayton, OH. In this role, you will spend the vast majority of your time in
Description Brady Ware is sourcing a Senior Accountant for a local client. This role leads key accounting functions while driving process improvements and supporting business operations. The position offers exposure beyond the close, including customer credit,
Medical Assistant (MA), Full Time, First Shift The Medical Assistant functions as an integral part of the Clinical office staff where the Medical Assistants perform administrative and clinical duties. Responsible for obtaining intake information for a
Worker TypeRegular Job Description AVs Specialized Exploitation & Targeting (SET) Department is seeking a Senior Software Engineer to provide technical leadership and strategic direction in support of NASIC at Wright-Patterson AFB. You will lead the architecture,
Motion Industries is seeking an experienced Software Engineer to join our team. In this senior-level role, you will focus on developing and enhancing features within the Supply Chain domain of our Enterprise Resource Planning (ERP) system.
WKEF is looking for its next Morning Newscast Director. This position plays a key role in the daily execution of live broadcast news operations. This position is also responsible for directing and coding multiple live newscasts, including
Located at our Core Lab (Moraine, OH) Full-time Day Shift (8:00 AM-5:00 PM) Position Summary: Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data
WE’RE CHANGING ENTERTAINMENT. COME JOIN US. We’re always looking for talent that believes in having fun. At PENN Entertainment, you’ll get to be a part of an exciting industry, where the days and nights are fast
Requisition Number: 29058 Required Travel: 0 - 10% Employment Type: Full Time/Salaried/Exempt Anticipated Salary Range: $90,872.00 - $117,104.00 Security Clearance: Secret Level of Experience: Mid This opportunity resides with Warfare Systems (WS), a business group within HII’s
Job Summary: The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled analytic tools. This role is responsible for evaluating provider payment methodologies,
Nurse Practitioner Opportunity As a Nurse Practitioner at GuideStar Eldercare, you will have the opportunity to address the suffering of an aging population afflicted with dementia, Alzheimers disease, and other neurocognitive disorders in nursing homes and
KPN Pro Fee Coding Specialist This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. Serves as the subject matter expert ensuring coding compliance, knowledge of CMS