The Director of Revenue Cycle Management is responsible for leading end-to-end RCM operations, driving financial performance, and ensuring efficient, compliant, and scalable processes across the revenue cycle. This role focuses on cash flow optimization, denial reduction, AR…
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Supervisor, Prior Authorization Job Summary The Supervisor, Prior Authorization is responsible for overseeing the daily operations and performance of teams supporting the Prior Authorization function within Natera's Billing Operations department. This position provides direct…
Job Summary The Utilization Management Nurse supports the effective coordination and management of healthcare services by reviewing clinical information, determining medical necessity, facilitating appropriate resource utilization, and ensuring compliance with regulatory and…
About Blackbird Health Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across…
About Us InStride Health’s mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving…
Position Summary Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused…
Appeal and Grievance Coordinator - MUST live in OK at Cvshealth in Work From Home, United States. Remote.
Appeal and Grievance Coordinator - MUST live in KY, OK, and OH at Cvshealth in United States. Remote.
Appeal and Grievance Coordinator – MUST live in Oklahoma at Cvshealth in Work From Home, United States. Remote.
Position Objective: The Case Manager works under the direction of the clinical director of care management, providing coordination of care for patients at Luminis Health to support safe, seamless, timely transitions across the continuum. Utilizing a collaborative process, will…
Opportunity Overview: Cohere Health is seeking a detail-oriented and outcomes-driven Senior Clinical Portfolio Manager to oversee the day-to-day execution of one of our new Speech Therapy Program. Reporting to VP, Clinical Programs, each Senior Clinical Portfolio Manager will be…
OP Medical Coder (Immediate Joiner) Job Summary The OP Medical Coder is responsible for accurately reviewing and coding outpatient medical records, diagnoses, procedures, and services according to established coding guidelines and payer requirements. The role ensures that…
Position Summary This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical…
Position Summary The Quality Analyst – Surgery is responsible for performing detailed coding quality reviews, audits, and education related to surgical services. This role ensures accurate code assignment, documentation integrity, and compliance with federal regulations, payer…
Product Manager – Healthcare Platforms (RCM, API & Integrations) Role Summary We are seeking a Product Manager with strong technical depth and healthcare domain expertise to lead the strategy, roadmap, and execution of revenue‑cycle‑focused products. This role sits at the…
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