Reviews patient data for Phase I-IV clinical research and non-interventional studies to ensure compliance with protocols and regulatory requirements.
Communicates and escalates serious issues to the project team and develops action plans as needed.
Maintains working knowledge of ICH/GCP guidelines and company SOPs, documenting activities per project requirements.
Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We are a global company with over 29,000 employees, dedicated to developing our people and building an inclusive culture.
Deliver da Vinci Surgical System training programs for surgical teams at designated training centers and remote centers.
Support specialized training programs, society events, and new product development initiatives.
Manage training center logistics, inventory, training calendars, and maintain capital equipment.
Intuitive is a pioneer and market leader in robotic-assisted surgery, dedicated to advancing minimally invasive care through intelligent technology. The company fosters an inclusive culture built around diversity of thought and mutual respect, with team members grounded in integrity and a strong capacity to learn.
Codes and abstracts patient encounters for diagnostic and procedural information, analyzing data for reimbursement needs.
Completes final checks on charts ensuring all reports are signed and NCCI edits, CMS, and Joint Commission rules are followed.
Participates in continuing education and communicates with the Manager on training needs.
Plumas District Hospital provides essential health care services to the Quincy, California area and surrounding mountain community. With a population of 5,000 residents, PDH offers an inclusive work environment, competitive compensation, and perks like shift differentials and holiday pay.
Review assigned TEFCA directory entries against authoritative corroboration sources and apply the approved review methodology.
Research, validate, and reconcile healthcare directory data across multiple reference sources, documenting findings in Jira.
Classify entries using a four-tier disposition taxonomy and escalate exception-path entries to the Lead Analyst.
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that provides expert program management, technology, and consulting solutions to government and private sector clients. As a small business, they emphasize integrity, collaboration, and excellence in their tailored solutions.
Support payer audits and medical record reviews, ensuring timely submission of documentation.
Manage medical review requests and appeals associated with CMS contractors and regulatory agencies.
Review clinical documentation using audit checklists and partner with teams to gather required records.
VitalCaring is a provider of home health and hospice services founded in 2021. They are a growing company focused on quality and compliance, with a mission to deliver exceptional patient care.
Manage referrals into and out of the clinic, including prior authorizations and medical records.
Efficiently schedule appointments and verify insurance and demographics.
Communicate effectively with all levels in a frequently stressful healthcare environment.
Munson Healthcare is northern Michigan's largest healthcare system, serving over half a million residents across 29 counties with eight hospitals. They emphasize community, values, and offer benefits like tuition reimbursement and generous PTO.
Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and member inquiries.
Investigate and resolve complex claim denials and rejections, submit corrected claims and appeals, and drive systemic fixes to improve clean claim rates.
Serve as internal subject matter expert on payer requirements, billing regulations, and compliance standards, fielding escalations from clinical and operations teams.
Cartwheel is building a new kind of mental health program for kids that puts schools at the center. Backed by top investors, it has grown to serve more than fifty school districts across six states and is driven by a mission to help millions of students experience joy.
Serve as the primary on-call Care Manager, exercising independent judgment to assess urgent situations and coordinate timely responses.
Provide comprehensive care management support for urgent client needs during evenings and weekends.
Document interactions and maintain professionalism, discretion, and compassion in high-pressure situations.
Sage Eldercare Solutions enhances quality of life for older adults through comprehensive care management. Since 2001, our team of nurses, social workers, and gerontologists, supported by art, music, and recreational therapists, provides personalized care with a collaborative culture emphasizing work-life balance and lifelong learning.
Investigate and resolve insurance claim denials, handling 50 to 100 denials daily with speed and accuracy.
Partner with payers to secure timely reimbursement and interpret LCD/NCD requirements for CPT/HCPCS-related denials.
Provide top-tier phone support to patients, insurance companies, and internal teams while using payer portals and clearinghouses.
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. We foster a culture of respect, empowerment, and shared purpose, with a team committed to patient-centered outcomes and values such as Be Kind and Do What’s Right.
Design and execute quantitative and qualitative analyses to address gaps and support an enabling environment for injectable PrEP scale-up.
Manage and monitor country and project progress against agreed deliverables and milestones, including routine reporting and donor updates.
Maintain up-to-date expertise on HIV prevention and long-acting injectable PrEP, supporting knowledge management across the team.
The Clinton Health Access Initiative (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low- and middle-income countries. With a diverse team of over 40 countries, CHAI works at the invitation of governments to create and sustain high-quality health systems, emphasizing innovation and collaboration.