Leads and manages MDS Coordinators and Clinical Reimbursement Specialists within the MDS Solutions division. This role involves performing billable consulting services for clients, including MDS coordination, RAI assessments, Care Plan development, PDPM, Case Mix reimbursement optimization, and Quality Measure analysis. Responsible for providing training and education to MDS Coordinators, ensuring accurate reimbursement and compliance with federal quality reporting requirements.
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This opportunity is full time and onsite at the NIH-NCBI in Bethesda, MD and/or remote work. Directing, managing, and overseeing activities related to the content of SNOMED CT as carried out by the NLM. Overseeing editing and data modeling of SNOMED CT and other clinical and healthcare vocabularies and coordinating with developers of source content.
This role will be instrumental driving our education and training initiatives as well as managing the Quality Management function. The ideal candidate will have expert level coding and auditing skills, be adept at project management, and have strong communication and collaborations skills to drive initiatives across the organization.
Weβre seeking a clinician-operator to lead and scale our Clinical Quality & Programs function, blending clinical expertise with systems thinking and operational rigor. You will be responsible for identifying quality gaps, designing scalable solutions, and embedding them into workflows and tools to improve the consistency, accuracy, and impact of virtual nutrition care. Your role is to design the systems and processes that ensure clinical quality.
At Headway, the Clinical Operations team ensures that the services we support are backed by accurate, compliant, and clinically sound documentation and coding. The Medical Coding Specialist will audit medical records to assess compliance with behavioral health coding and documentation standards (ICD-10-CM and CPT). The ideal candidate will bring strong analytical and auditing skills, along with a solid understanding of mental health diagnoses, documentation requirements, and industry coding guidelines.
Joining AbbVie means you will be part of a team of outstanding professionals dedicated to making a remarkable impact on patients' lives. As the Health Education Manager, you will identify HCPs health education needs and develop multiple health education initiatives customized to address them. You will lead the planning and development of a strategic health education plan, design forward-thinking strategies, and oversee the planβs timeline and budget. Conduct HCP needs assessment nationally and contribute to identifying educational gaps in partnership with cross-functional colleagues.
The Manager of 340B Execution Services plays a mission-critical role in optimizing program implementation and compliance across VytleOneβs health system clients. This leader will oversee contract pharmacy performance, data reconciliation, audit preparedness, and replenishment optimization. The role ensures clients capture value and maintain audit readiness through technology-driven and insight-informed execution models.
Lead implementations of Parachuteβs Payor Suite, connecting health plans with suppliers and health systems to ensure timely servicing and peace of mind for health plan members. Serve as the primary point of contact for health plan stakeholders during the onboarding process. Employ project management skills to ensure all partners follow best practices, deliver on time, and make full use of the tools available.
The intern will help with all aspects of the Alliance focusing on general Alliance activities including the communications and programmatic components. The Alliance has a variety of grant funded projects ranging from building the capacity of health departments to collaborate with CBOs and cross sectoral partners, to a workforce development project with Public Health AmeriCorps.
The Healthcare Reclamation Analyst reviews assigned client data and payer correspondence, investigates coverage to determine eligibility and primacy, and gathers and interprets explanation of benefits and payer feedback in order to recover funds for clients who have paid in error.