Performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 classification systems.
Completes appeals processing tasks for both the inpatient and outpatient Data Quality Appeal Teams.
Reviews and abstracts information from auditor denials to communication sheets.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for their patients and each other.
Lead and develop a team of RN Care Coordinators and non-clinical Care Coordinators.
Ensure timely progression of members through the surgical review and COE pathways.
Identify workflow issues and recommend process improvements.
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings.
Implementing HEOR strategy, aligned with the Access Strategy Lead (ASL), for assets across the life cycle.
Generating payer-relevant evidence, patient reported outcomes (PRO) and economic models.
Maintaining strong working relationships with top-10 countries, including the United States.
Amgen discovers, develops, manufactures, and delivers innovative human therapeutics for patients suffering from serious illnesses. They are a biotechnology pioneer since 1980 and has grown to be one of the world's leading independent biotechnology companies.
Develop and implement strategy for Commercial and Medicaid contracts.
Lead and develop Managers/Sr. Managers, driving operational excellence.
Establish strong relationships with payer partners to ensure deliverables are met.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they've grown into the largest network of independent primary care in the US, fostering a collaborative, inclusive, and remote-first culture.
Handle communications via phone, email, voicemail, faxes, and chat.
Conduct thorough intake assessments to understand patient needs and match them with an appropriate provider.
Ensure all patient interactions and transactions are accurately documented in the Electronic Health Record (EHR) system.
LifeStance Health is a mental healthcare provider striving to help individuals, families, and communities with their mental health needs. They are the fastest-growing mental health practice group in the country, valuing belonging, empathy, courage, and teamwork.
Develop and execute market access strategies to implement digital therapeutics in NHS Scotland services.
Provide clinical guidance and support to NHS teams, including training and educational materials.
Build and maintain an active community of highly engaged NHS referrers and clinical champions.
Big Health aims to help millions return to good mental health by delivering digital, non-drug treatments for mental health conditions. They work with healthcare organizations, including Scotland’s NHS, to improve lives across the country through science-led product innovation.
Oversee clinical quality assurance, develop training programs, and ensure regulatory compliance.
Design, implement, and oversee clinical quality assurance programs for in-home care delivery.
Design and implement onboarding and continuing education programs for clinical team members.
Sprinter Health is an innovative healthcare startup dedicated to providing high-quality, in-home and virtual care across the country. They employ a multidisciplinary team of clinicians, technologists and operators backed by investors including a16z, General Catalyst, GV, and Accel.
Work closely with our Customer Success team to coordinate partner launches post-sale.
Dig deep on process and recommend workflow solutions to streamline client operations and improve the user experience.
Roll-up your sleeves to lead demos & trainings tailored for each partner and ensure users have appropriate support
Parachute Health is transforming post-acute care through the leading digital ordering platform for medical equipment and supplies. They connect a vast network of Home Medical Equipment (HME) providers, clinicians, and payors across all 50 states, ensuring millions of patients get the life-saving products they need quickly and efficiently.
Provides policy expertise related to systems or products.
Communicates Medicaid program insight to UX researchers and designers.
Analyzes laws and policy documents and explains their impact.
A1M Solutions is a woman-owned small business focused on providing value to customers, employees, partners, and the community, while remaining aligned to its guiding principles. A1M’s mission is to preserve and improve government healthcare programs for underserved people in the United States, focusing on projects with nation-wide impact at the intersection of policy, data, and user experience design.
Conduct research and analysis to develop factsheets, issue briefs and other educational resources.
Attend relevant briefing and seminars, providing support for webinars.
Assist with committee and partner meetings.
The American Public Health Association aims to influence public policy at all levels of government and within the private sector, and to serve as a catalyst for positive change. They create innovative, analytical and informative resources on a range of public health disciplines and topics.