Responsible for managing Med Legal Review (MLR) submissions for a variety of Pharma Brand companies, including submitting in MLR Systems Develop and maintain constant knowledge of pharmaceutical company requirements, including but not limited to system and regulatory guidance and annotation guidelines Partner with team leads to provide consultation to Account Managers on

Administers assigned contracts of moderate scope and complexity to ensure fulfillment of contractual obligations. Defines requirements, generates and provides input for proposals, negotiates pricing and terms, monitors contract performance and ensures compliance with contract requirements. Determines customer contractual requirements for new products and/or systems (i.e.

Perform routine clerical tasks Scan and or/file all documents, records and correspondence properly Retrieve medical charts Scan and/or file medical records into patient's electronic health record Sort and distribute mail With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If yo

This position serves as an integral part of her/his assigned Integrated Care Team (ICT) and is responsible for coordination of services related to the delivery of medical benefits that ensure members' complex medical, behavioral, pharmaceutical, and psychosocial needs are met within the established benefit policies and guidelines for the treatment and evaluation of member

MARS Solutions is looking for a Assitant Nurse Manager in White Plains, NY n collaboration with the Nurse Manager, the Assistant Nurse Manager Assures the delivery of quality department /clinical services in accordance with established hospital and regulatory/accreditation agency standards. Promotes a positive and professional image and is a role model, coach, mentor, pro

Build the future of data. Join the Snowflake team. Our Sales Engineering organization is seeking a Healthcare Director, Sales Engineering to lead a highly skilled pre sales team focusing on our federal practice. In this role you will act as a second line manager, managing a team of SE managers as well as work directly with our sales team to understand the needs of our cus

Oversee the operations of the medical billing function, encompassing coding, claims preparation and submission, payment posting and reimbursement management. Contribute to automating and streamlining billing processes to enhance operational efficiencies. Perform prospective review of medical billing documentation. Ensure claims are complete and accurate and submitted in c

Chart Retrieval Specialist Job Locations US NY Yonkers Requisition ID 2024 36016 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Part Time Equal Pay Act Minimum Range $18.75/hr Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We

Inspire and lead District Managers and clinic teams to succeed, measured by delivering budget within the context of HearingLife's core values. Develops direct reports and mentors Team Members to meet their potential; frequently visiting clinics and traveling with managers. Attracts and identifies top talent for continued growth. Support District Manager multi unit busines

At Five Star Senior Living, our people are the critical link to those we serve, and it is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In addition to nurturing and advancing the lives of our residents, our team members enjoy meaningful opportunities for personal and professional growth, wit

Claims Intern Job Locations US NY NEW YORK Job ID 2024 3754 Category INTERN Type Regular Division Seneca Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Exce

WebMD is seeking an experienced, bilingual Health Editor (fluent in Spanish and English) to support development of consumer health content and lead development of Spanish consumer health content. This editor will participate in a deadline driven, cross functional content development process that aims to deliver a variety of content types that inform and engage patient and

Review database for panelists with matching inclusion/exclusion criteria to upcoming clinical trial protocols. Contact potential subjects and discuss clinical trial requirements and availability to participate Ensure compliance with protocols, and standard operating procedures Data entry of subject data into database Provide assistance to clinical and photobiology departm

Community Associate Address 30 Knightsbridge Road Suite 525 08854 Piscataway The world of work is changing...short commutes, flexibility, and convenience are the minimum standards employees want when it comes to how they want to work! At IWG, we are leading the way. We've built the world's largest workspace network so that our customers can work from wherever, and however

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi