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RN Sr.Provider Education Consultant, Medicare Part B - CGS Administrators, LLC
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Summary Provides education to medical providers as warranted. Description - 25% Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports,...
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From Blue Cross and Blue Shield of South Carolina
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Date
2021-03-30
Company
Blue Cross and Blue Shield of South Carolina
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Location
Ohio
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About the job:
Summary Provides education to medical providers as warranted. Description - 25% Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. - 20% Conducts formal conference calls and/or in-person educational visits with providers that are consistently over utilizing services, on progressive corrective action, or have unacceptable denial rates and/or error rates under the medical...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Licensed Practical Nurse
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Associate MolDX Director- Palmetto GBA
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Summary Involved in all aspects of the Molecular Diagnostic Program (MoIDX) laboratory operations and serves as an internal subject matter expert, applying medical knowledge to advise decisionmakers in support of MoIDX’s mission. Responsible for...
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From Blue Cross and Blue Shield of South Carolina
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Date
2021-03-23
Company
Blue Cross and Blue Shield of South Carolina
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Location
Ohio
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About the job:
Summary Involved in all aspects of the Molecular Diagnostic Program (MoIDX) laboratory operations and serves as an internal subject matter expert, applying medical knowledge to advise decisionmakers in support of MoIDX’s mission. Responsible for review and approval of documentation and reports, supporting clinical testing strategies, as well as new assay development and validation. Serves as an ambassador for comprehensive genomic and molecular profiling through education and research efforts within and external to MoIDX. Description - 25% Engages with providers, provides relevant education...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Scientists, Except Epidemiologists
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Doctoral or professional degree
Certifications/Licenses:
Medical License
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Business Operation Systems Analyst - CGS
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Summary Researches, analyzes and documents business processes for developing or enhancing Medicare systems. Assists with needs assessments to align operation solutions with government initiatives. Create and review test data for system changes....
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From Blue Cross and Blue Shield of South Carolina
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Date
2021-02-24
Company
Blue Cross and Blue Shield of South Carolina
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Location
Ohio
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About the job:
Summary Researches, analyzes and documents business processes for developing or enhancing Medicare systems. Assists with needs assessments to align operation solutions with government initiatives. Create and review test data for system changes. Identify, document and assist in the resolution of system-related problems. Coordinate activities for implementation of changes, as well as debugging and retesting of system changes. Description - 30% Researches, analyzes and documents business processes for developing or enhancing Medicare systems. Assists with needs assessments to align operations...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Operations Research Analysts
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Medicare Medical Director - Palmetto GBA
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Summary As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal...
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From Blue Cross and Blue Shield of South Carolina
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Date
2021-02-24
Company
Blue Cross and Blue Shield of South Carolina
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Location
Ohio
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About the job:
Summary As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. May also write and revise medical policies. Description *This position can be worked remotely. *Must be willing to travel to Columbia, SC at least one week per month for on-site meetings/training. •30% Supports operations in the form of case review on both medical and regulatory matters. Develops claim...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Board Certified
Medical License
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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178192 jobs as of 4/11/2021
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Jobs 1 To 4 of 4 1 of 1 1

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