The Senior Director, Performance Improvement provides strategic leadership in the planning, development, implementation and execution of all aspects of a robust portfolio of value based programs and strategies within the Prominence Health umbrella. Emphasis will be centered around risk based contract performance, risk adjustment, and quality measurement performance across

Coordinates intake of cases on new and established assignments to expedite the Care Coordination process by facilitating the medical review process, verifying health plan eligibility, obtaining and assessing preliminary clinical and non clinical data or needed additional data, determining appropriate case type, and triaging to the appropriate resource. Initiates and advan

The National Security Sector is currently looking experienced Triage Examiners in various languages to perform media exploitation (MEDEX) and triage in support a customer in the National Capital Region (NCR). Triage Examiners should be experienced in general linguist operations and Document and Media Exploitation (DOMEX) operations, and are expected to leverage language a

The Office for Institutional Equity (OIE) at the Johns Hopkins University (JHU) is seeking a highly qualified, motivated and skilled Equity Compliance Investigator to assist in the handling of equal opportunity issues involving members of the University community, including assessing and investigating complaints of discrimination, harassment, sexual misconduct and retalia

IPG Mediabrands is seeking a dynamic and experienced Director, Growth Operations to play a key role in accelerating our agency's growth trajectory. This individual will work closely with the SVP of Growth Operations, supporting and implementing a cohesive strategy for agency growth initiatives. The role is critical for enhancing our new business processes, optimizing grow

Who We Are WPS Health Solutions is a leading not for profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for

Schedules and makes personal visits to key providers with goal of adding new providers to the dental network. Convinces providers to work with network development team to enter into provider contract negotiations. Supports the team through the negotiation process. Builds and maintains provider business relationships and knowledge of assigned geographical regions. Represen

Senior Director, Relationship Management Alternatives Segment At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world's financial system we touch nearly 20% of the world's investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the table to create s

Posting Title Licensing Coordinator Consumer Products Requisition Number R228894 Company Mattel Sales Corp. Location El Segundo, California Address 333 Continental Blvd Zip Code 90245 Job Category Marketing CREATIVITY IS OUR SUPERPOWER. It's our heritage and it's also our future. Because we don't just make toys. We create innovative products and experiences that inspire f

Check Fraud Analyst Location US | US Job ID 2024 17380 Category Accounting/Finance Type Regular Full Time Job Grade 10 FLSA Status Exempt Working Hours 8 5 Job Location Company Account Processing #10012 Overview The purpose of this job is to anticipate, monitor and prevent fraudulent activity on accounts specifically related to the processing of in clearing checks. The po

Provides expert level review of inpatient clinical records within 24 48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided Conducts daily follow up communication with providers regarding existing clarificatio

The Opportunity In this role, you will report to Supervisor, Onsite Services and will work closely with the Avantor's Lab and Production Services team of over 1,500 on and off site expert personnel and our customers to perform customized, mission based lab work and research protocols that help return time back to science. Location Malvern, PA 19355 Schedule 1st Shift/ M F

Assist in end to end provider claims and help enhance provider experience Assist in efforts to enhance ease of use of provider portal and future services enhancements Support development and management of provider networks within assigned regions Help implement training and development of external providers through education programs in collaboration with our training tea

Posting Date 06/19/24 Application Deadline Open Until Filled Pay Range Min 1st Quartile Mid Max $30.00 $34.63 $39.25 $48.50 Job Type Unclassified Department Sheriff About the Position Unleash your passion for firearm analysis in a role that grants you the time and autonomy to go deep. Conduct intricate investigations, delve into complex cases, and unearth the hidden stori