Leadership responsibilities Manage all aspects of the P&L, including driving growth, reducing medical expense, STARs performance, coding accuracy and administrative cost efficiency Lead the strategy creation and implementation, spanning assets in the benefit and care delivery space Organize the current businesses into a cohesive unit to deliver best in class integrated me

Perform research which advances the state of the art in AI and ML Implement algorithms and evaluate their performance on healthcare data Communicate results across an interdisciplinary team and explore use cases which improve real world healthcare outcomes Document research internally and externally, including publications in machine learning and other scientific conferen

This position is focused on the area of behavioral health and the responsibilities include Perform research which advances the state of the art in AI and ML with applications in behavioral health Implement algorithms and evaluate their performance Communicate results across an interdisciplinary team and explore use cases which improve real world healthcare outcomes Docume

Perform research which advances the state of the art in AI and ML Implement algorithms and evaluate their performance on healthcare data Communicate results across an interdisciplinary team and explore use cases which improve real world healthcare outcomes Document research internally and externally, including publications in machine learning and other scientific conferen

Investigate instances of potential healthcare fraud, waste, and/or abuse (FWA) Conduct telephonic and/or in person interviews of members, providers, and other related parties to gather information in support of investigations Review and analyze claims data to identify patterns and indications of potential FWA Conduct onsite provider investigations for claim and/or clinica

Conduct MS DRG and APR DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification Expert knowledge of and the ability to identify the ICD 10 CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD 10 Official

Ameresco, Inc. (NYSE AMRC) is a leading cleantech integrator and renewable energy asset developer, owner and operator. Our comprehensive portfolio includes energy efficiency, infrastructure upgrades, asset sustainability and renewable energy solutions delivered to clients throughout North America and Europe. Our solutions range from upgrades to facility's energy infrastru

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable Performs an initi

Perform remote and onsite hospital bill charge audits as assigned while meeting department quality expectations Manage case inventory to ensure timely scheduling of remote and onsite audits while maintaining weekly productivity goals Ability to assess case details and provide input into audit potential of facilities & cases Effectively interact and communicate with teamma

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

Number of Job Openings Available 1 Date Posted January 11, 2024 Department 62329900 Allina Health Group Eden Prairie Shift Day (United States of America) Shift Length 8 hour shift Hours Per Week 40 Union Contract Non Union Weekend Rotation None Job Summary Allina Health is expanding primary care services in the community of Eden Prairie, MN in early 2025. Eden Prairie is

Number of Job Openings Available 1 Date Posted January 11, 2024 Department 62329900 Allina Health Group Eden Prairie Shift Day (United States of America) Shift Length 8 hour shift Hours Per Week 40 Union Contract Non Union Weekend Rotation None Job Summary Allina Health is expanding primary care services in the community of Eden Prairie, MN in early 2025. Eden Prairie is

Number of Job Openings Available 1 Date Posted January 11, 2024 Department 62329900 Allina Health Group Eden Prairie Shift Day (United States of America) Shift Length 8 hour shift Hours Per Week 40 Union Contract Non Union Weekend Rotation None Job Summary Allina Health is expanding primary care services in the community of Eden Prairie, MN in early 2025. Eden Prairie is

Studies blueprints, sketches, models, work instructions, and specifications to produce fabricating tools, dies, injection molds, jigs, fixtures and assemblies using a variety of machine operations within close tolerances. Conducts test runs with completed tools, mold, or dies to ensure that parts meet specifications. Verifies dimensions, alignments, and clearances of fini

Join our chic team, dedicated to a styling and social experience that inspires women to express their individuality. POSITION OBJECTIVE The Support Associate is responsible for supporting a customer and product focused sales culture where our core principles are at the forefront of all store operations. This is achieved through performing various sales operations function