Jobs near Mason: 5,188
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Relevance Score ranked on: IMPROVEMENT SPECIALIST
Pharmacy Quality Improvement Specialist
MASON, 4241 IRWIN SIMPSON RD
Represents the department on process improvement teams, special projects and implementation of new technology. Lead role in coordinating annual review/revision of procedures. Leads the training of associates when new processes or procedures are implemented. Communicates process information and facili...
Search Terms: Improvement Specialist, Pharmacy, Quality, Specialist, Improvement
89
0mi
Updated: August 31
Public Relations Director
Mason
Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with Pulse. Point sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. The Public Relations Director is responsible for leading the communications and pub...
Search Terms: Public Relations, Director, Relations, Communications, Media
0
0mi
Updated: September 19
Investigator II - Carelon Payment Integrity
MASON, 4361 IRWIN SIMPSON RD
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claims systems for review of facility, professional, and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may ...
Search Terms: Investigator, Payment, Integrity, Healthcare, Business Services
0
0mi
Updated: September 19
Clinical Provider Auditor I
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor I
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
0
0mi
Updated: September 19
Investigator Assistant
MASON, 4241 IRWIN SIMPSON RD
Collects, researches, and validates bills and claims data against relevant guidelines. Assists in preparation of statistical and financial analysis reports. Requests medical records and additional documentation required for investigation. Completes initial file set-up and tracks cases. Processes and ...
Search Terms: Investigator, Assistant, Technology, Healthcare, Compensation
0
0mi
Updated: September 19
Learning Infrastructure Specialist
MASON, 4241 IRWIN SIMPSON RD
Partners with Learning & Development associates to gather and interpret client business requirements. Consults on the best usage of technology, based on specific client business needs and practices, ensuring strategic adoption and effective use of learning technologies. Partners with clients on proje...
Search Terms: Specialist, Infrastructure, Designer, Project Management, Healthcare
0
0mi
Updated: September 19
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