Educate providers to ensure they have the tools they need to meet quality, risk adjustment, growth (as appropriate), and total medical cost goals per business development plans Ensure providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives, and patient care best practices Conduct detailed a

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

Leads new client onboarding and transformation by utilizing a diverse group of resources (people and technology) to integrate new clients into the standard OGOM Leads the PMO/PM discipline for technology implementations related to HB Coding Establish the standard HB Coding methodology to measure productivity, efficiency, scalability, human touch volume, and workflow Leads

The Senior Lending Compliance Analyst is a highly experienced individual contributor role and will report to the Director, Compliance. The Senior Lending Compliance Analyst is responsible for operational support of the Compliance Department; assists the Director, Compliance in developing, implementing, testing, and administering all aspects of TDECU's Compliance Managemen

Educate Providers to ensure they have the tools they need to meet Quality, Risk adjustment, growth (as appropriate) and Total Medical Cost goals per business development plans Ensures Providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives and patient care best practices Conduct detailed an

Under direction of both the Director and CDI Manager, the Clinical Documentation Specialist independently prioritizes and performs assigned duties and tasks. Clinical Documentation Specialists are responsible and accountable for the day to day management and success of the Continuous Documentation Improvement Project to include all modalities, acting as a liaison with spe

Under direction of both the Director and CDI Manager, the Clinical Documentation Specialist independently prioritizes and performs assigned duties and tasks. Clinical Documentation Specialists are responsible and accountable for the day to day management and success of the Continuous Documentation Improvement Project to include all modalities, acting as a liaison with spe

Under direction of both the Director and CDI Manager, the Clinical Documentation Specialist independently prioritizes and performs assigned duties and tasks. Clinical Documentation Specialists are responsible and accountable for the day to day management and success of the Continuous Documentation Improvement Project to include all modalities, acting as a liaison with spe

This position is responsible for the SDO process improvements in any of the following areas eligibility, enrollment & billing, claims administration and member/provider services across one or more lines of business. Partnering with operational process owners to establish strategic goals and process measures. Modifying, monitoring, continually improving, and standardizing

Timely and accurate completion of credentialing medical staff applications include processing and approval of temporary privileges. Process assigned reappointment applications fully and accurately to completion per deadlines. Conducts monthly meetings and roundings with MSO Credentialing Team to prepare final drafts of Joint Credential Committee agenda and completes assig

LICENSING COORDINATOR Job Locations US IN INDIANAPOLIS ID 2024 144358 Line of Business StepStone Family & Youth Services Position Type Full Time Our Company StepStone Family & Youth Services Responsibilities The Licensing Coordinator is responsible for the recruitment, training, licensing (certification), and retention of qualified foster parents. They are responsible for

Join us on our mission to create a completely new, 100% digital bank that truly serves customers' best interests. We are a close knit and fun loving team of seasoned financial services professionals who came together for the challenge of building a bank from scratch and we are committed to doing it all the right way (from technology infrastructure to modern marketing to c

Hybrid Financial Crimes/Fraud Investigation Specialist Job details Posted 14 May 2024 Location Tempe, AZ Job type Contract Reference 911868 Job description Position Financial Crimes/Fraud Investigation Specialist Location Des Moines, Minneapolis, Phoenix, St. Louis, Tempe, AZ Duration 9+ Months Su mmary Identifies, research and analyses more complex financial crimes trans

Park Bank is hiring our next Fraud & BSA Specialist, and we want to talk with you! This position is responsible for the research and investigation of customer and transactional data, as well as reporting to applicable governmental agencies. Investigations involve the collection, analysis, and evaluation of information from various sources, the documentation of research fi

Thank you for your interest in our company! To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. The email address used in establishing your account will be used to correspond with you throughout the application process. Please be sure and