of Medicare, HMO, MMO, managed care plans Computer proficient Preferred: Medical assistant experience preferred Knowledge... census and admissions, retrieve medical records, and discharge planning while working with the case management (CM...
Snowflake-managed Iceberg tables into Microsoft Fabric via OneLake shortcuts and leveraging Power BI’s Direct Lake mode.... This empowered faster decision-making, proactive issue resolution, and a more agile, data-driven organization. We helped...
threats. This position is the heartbeat of our Cyber Defense Organization, where you’ll hunt, analyze, and neutralize... lines: Monitor and dissect security alerts provided from managed services providers, SIEM, EDR, and advanced detection...
organization. Manages the hospital’s Core Measure data abstraction and reporting to PCC. Performs OPPE data review and prepares... in Dallas, TX. We partner with the very best team members and medical staff in the area. We are an elective surgical focused...
preferred. Medical prior authorizations or claims experience in a managed care setting and CHAA certification are highly... admissions, emergency admissions, and emergency procedures. They will work closely with medical staff, clinical staff, referring...
guidelines and appropriateness of clinical interventions. 4. Performs medical record review, abstracting, aggregating... continuum and the care management team. The DMCA works collaboratively with Managed Care contracting staff, revenue cycle...
review and risk management activities. Determines appropriateness and medical necessity of admissions, continued hospital... to organization and interdisciplinary rehab team and monitors admissions, length of stay and clinical documentation for regulatory...
organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The Medical Director... Medical Director is a key member of the Optum Enterprise Clinical Services Team. On the Focused Pharmacy Review team...
screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits. Obtains... Medical Center's Quality Standards and maintain a positive patient experience at all times. This position will initially...
DevOps engineers managed through an MSP partnership. Review and approve DevOps solution architecture, standards... engineers provided by a managed service provider (MSP), ensuring secure, scalable, and compliant CI/CD pipelines and automation...