- Beth Israel Lahey Health (Burlington, MA)
- …The Utilization Analyst works with physicians, the payers and inpatient case management team to validate the medical necessity of the hospital care. ... Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation… more
- The Cigna Group (Bloomfield, CT)
- + **Position Scope:** Manages/Coordinates an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient ... services including DME (durable medical equipment). + Ensures that inpatient case management program objectives are met by evaluating the effectiveness of… more
- The Cigna Group (Nashville, TN)
- …individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of ... medical services as well as Part B drugs. The Case Management Analyst will be...limited to:** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance… more
- The Cigna Group (Bloomfield, CT)
- …transition of care, product rate negotiations, and accurately calculates medical cost savings. Case Managers performs case management evaluation to identify ... and Required Results** + Obtains informed verbal consent from customers for case management services + Establishes a collaborative relationship with the… more
- Penn Medicine (Philadelphia, PA)
- …Orders (CPOE) (Preferred) + Epic ClinDoc (Preferred) + Epic Stork (Preferred) + Epic Case Management (Preferred) + Epic Bugsy (Preferred) Skills and Abilities: + ... Orders (CPOE) (Preferred) + Epic ClinDoc (Preferred) + Epic Stork (Preferred) + Epic Case Management (Preferred) + Epic Bugsy (Preferred) Skills and Abilities: +… more
- PPL Corporation (Allentown, PA)
- …focus on improving operational effectiveness and excellence. The Business Operations Analyst will prepare and deliver well-constructed business insights to ... management , lead teams, and enhance other's understanding of business...passion to optimize the decision making process through rigorous utilization of data. **_THIS IS NOT A REMOTE POSITION._**… more
- Serco (Crystal City, VA)
- …desired experience and skills: + Advanced working knowledge of USAF or USN FMS case management systems (CEPT, SCIP, DSAMS, RMIS). + Strong communication skills ... current security cooperation policy, case development and case execution practices. Our Analyst reports to...management in the areas of security cooperation policy, case development, and case execution. + Interact… more
- Defense Logistics Agency (Battle Creek, MI)
- …below for important information regarding this job. Responsibilities Serves as senior Management and Program Analyst for DLA Disposition Services. Performs full ... or Strategic Planning teams or to determine compliance with management practices and effective utilization of staff....Requirements Conditions of Employment Qualifications To qualify for a Management and Program Analyst , your resume and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Extensive experience with claims data, clinical outcomes data, clinical quality measures [HEDIS], Case Management , Utilization Management data. + ... Medicare Supplement, and individual plans. The Business Intelligence Programmer Analyst is responsible for transforming business requirements into BI technical… more
- CGI Technologies and Solutions, Inc. (Washington, DC)
- ** Management Analyst III -CRS** **Category:** Administration **Main location:** United States, District of Columbia, Washington **Position ID:** J0724-1867 ... (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** CGI Federal is seeking a Management Analyst III to support the CRS… more