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The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for assigned provider groups. A Medicare Consultant will interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical docume
Posted 1 day ago
We are seeking an Implementation Manager for our Raleigh, NC location responsible for the onboarding, implementation and support of products in the healthcare Utility Services Suite in the Optum Cloud. Ensure that service consumers are effectively implemented and ramped up on our systems and be responsible to conceptually understand web services, both SOAP and REST and use strong data skills inclu
Posted 1 day ago
McKinsey & Company
- Boston, MA / Charlotte, NC / Cleveland, OH / 20 more...
Qualifications University degree and excellent academic record required; MBA or other advanced degree preferred 5+ years of finance or insurance industry and/or consulting experience that includes a progressive career trajectory, outstanding professional achievement and distinctive impact Led at least one large scale Lean Transformation across functions at the enterprise level (ideally with financ
Posted 29 days ago
Assists providers in understanding the CMS HC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding Monitors Stars quality performance data for providers and promotes improved healthcare outcomes Utilizes analytics and identifies and target providers for Medicare Risk Adjustment training and documentation/co
Posted 1 day ago
UnitedHealth Group
- Minnetonka, MN / Rocky Hill, CT / Raleigh, NC
Provide realistic effort estimates and project timelines for development and support projects Interpret business requirements and functional specifications and create technical design and technical specifications documents Develop SAS processes following existing standard structures and macros Develop for a production environment Conduct data extraction and research studies that may include analyz
Posted 1 day ago
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're driving ever higher levels of sophistication in how provider networks are composed and compensated. Your ex
Posted 16 days ago
Specific information related to the position is outlined below. 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. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted 1 day ago
Specific information related to the position is outlined below. 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. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted 1 day ago
Specific information related to the position is outlined below. 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. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted 1 day ago
The Compliance Analyst II will support Compliance in the development, implementation and maintenance of an effective Compliance Program framework that includes an internal control structure, quality assurance, reporting and training. Will assist in the implementation of policies and development of procedures, and may lead small project teams to support the compliance program. Work may involve anal
Posted 1 day ago
Manage/participate in audit and non audit projects globally (North America, South America, Europe and Asia) to meet deadlines and project budgets. Assess risk to determine appropriate audit objectives, scope and procedures. Lead the preparation of audit programs and working papers detailing audit procedures/techniques and to ensure adequate audit evidence according to department and professional s
Posted 2 days ago
PPD
- Wilmington, NC
Senior CRA (Level II) (144647) PPD Development, L.P. is seeking a Senior Clinical Research Associate (Level II) in Wilmington, NC Job Duties Perform and coordinate all aspects of the clinical monitoring and site management process in accordance with ICH, GCP, FDA guidelines. Conduct site visits to assess protocol and regulatory compliance, and manage required documentation. Ensure that data will
Posted 3 days ago
LPL Financial
- Charlotte, NC / Fort Mill, SC
The Privacy Office at LPL Financial is looking for a motivated team player to join us as a Privacy Analyst within the broader Compliance, Legal and Regulatory (CLR) department. The Privacy Analyst should have demonstrated experience successfully working on multidisciplinary and interdepartmental projects, investigating and responding to inquiries and requests, and the ability to provide excellent
Posted 6 days ago
The Compliance Analyst II position performs assigned routine compliance testing tasks, prepares workpapers according to the enterprise standards and deals with routine compliance issues. The analyst will follow established guidelines and procedures and may also assist in monitoring regulatory or audit issues. Job Responsibilities Responsible for understanding line of business impact of new and cha
Posted 7 days ago
To assist in the daily office responsibilities and to provide administrative support to department management. Supervisory Responsibilities This job has no direct supervisory responsibilities. Essential Duties and Responsibilities include the following Answers incoming calls in a courteous and professional manner. Takes accurate messages. Directs calls to the appropriate department or person. Dire
Posted 7 days ago
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