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Develop procedures and processes for handling disputes and chargebacks. Monitor risk indicators, analyze department performance, and collaborate with the technical team to optimize and automate processes within billing support.
Lead architectural activities, define complex solution architectures, collaborate with engineers for implementation, and ensure security compliance while maintaining knowledge of emerging technologies and business strategies to drive innovative...
Evaluate medical education programs for quality, develop strategic solutions for accreditation compliance, and collaborate with academic staff to enhance program effectiveness while preparing comprehensive reports on educational assessments.
Maintain research regulatory compliance, support regulatory submission process, collaborate with Business Unit teams, evaluate new regulatory requirements, ensure sponsor responsibilities, plan and lead team meetings.
Monitor and audit professional fee accounts, provide training, assist with edits/denials/coding, coordinate seminars, serve as a resource, and report findings to management. Required certifications include CPC, CPMA, or CCS.
Gather and analyze client requirements, design and deliver tailored solutions, provide training and support, troubleshoot and enhance products, participate in pre-sales. Bachelor's degree and 2-3 years of experience required.
Analyze provider billing for compliance with coding guidelines, process claims accurately, and perform quality assurance on medical records while ensuring adherence to HIPAA regulations and client contractual agreements.
Coordinate with clients, team members, and vendors throughout the project lifecycle. Conduct market research surveys, design questionnaires, analyze data, visualize data, create presentations/reports, and meet project deadlines.
Support the design, development, and execution of large-scale surveys on workplace climate and discrimination in the military. Manage client relationships, coordinate projects, analyze data, and prepare research reports for scientific and non-scienti..
Deliver user research insights to support product vision. Collaborate with Product Designers and Managers to understand user behaviors, motivations, attitudes, and needs. Evolve and empower the UX Research team.
Expertise in quantitative research design and statistical methods. Contribute to innovation and thought leadership in market research. Support business development and client satisfaction. Manage project delivery and mentor team members.
Lead and grow a team of applied ML researchers, coordinate with product and engineering teams, write tooling and prototypes, and drive the execution of projects to productionize state-of-the-art ML research in computer vision.
Lead training and development programs for research staff, ensuring compliance with ethical standards. Collaborate with Principal Investigators and regulatory bodies to enhance operational efficiency and participant safety in clinical trials.
Develop clinical protocols, manage trial vendors, oversee investigator budget, implement recruitment contracts, prepare trial documentation, provide study updates, maintain Quality System documents, participate in other projects.
Incubate foundational AI techniques and applications, collaborate with cross-functional teams to address product challenges, and contribute to the AI research community through publications and innovative projects for significant business impact.
Research and build models to evaluate the true risk of applicants for personal loans. Productionalize, deploy, and train machine learning models. Collaborate with a talented team in a fast-paced environment.
Research and develop machine learning models to enhance borrower risk predictions, design and deploy scalable models, and collaborate with cross-functional teams to optimize business outcomes and evaluate model performance for actionable insights.
Develop perceptual features for immersive MR/AR experiences by modeling human perception, establish camera and display image quality metrics for benchmarking, research and develop computer vision and machine learning algorithms for light estimation and...
Help with research projects related to diversity and social justice. Assist with email blasts, website adjustments, and developing new ideas or projects. Must be a PsyD student with an interest in SGM research.
Design and implement new features for BoostDraft's document editor product, applying LLM/DeepLearning/ML/NLP techs. Interview customers to understand their needs, analyze legal documents, and evaluate cutting-edge DL/ML/NLP techs.
Design and implement new features for BoostDraft's document editor product. Apply LLM/DeepLearning/ML/NLP techs, interview customers, analyze legal documents, and evaluate cutting-edge DL/ML/NLP techs.
Stay updated on theoretical publications in sketching and streaming algorithms. Translate scientific algorithms into prototype code, while developing new algorithms to enhance business insights and collaborating with product teams to meet data analysis...
Assist in maintaining efficient processing and productivity efforts. Oversee invoice preparation, ensure timely updates for client records, and review billing staff results for accuracy and timeliness.
Support compliance with coding policies and regulations, conduct audits to assess quality, develop educational programs, and provide training and corrective action plans for coding and billing issues across various departments.
Assist in developing coverage analysis reports, study budgets, and clinical trial documentation while supporting client contacts and providing feedback on projects, enhancing organizational effectiveness and improving student outcomes.
Sales Strategy and Operations Manager: Assist in sales planning, analyze data and provide actionable insights, support sales team, ensure smooth order operations, manage go-to-market tools.
Utilize clinical expertise to review medical records and provide professional opinions on disability status. Ensure clear rationale for determinations with supporting documentation. Complete peer-to-peer calls, address quality assurance issues, and r..
Monitor provider schedules and productivity, address performance issues, develop strategies for engagement, and collaborate with management to align operations with service goals while ensuring adherence to high performance standards.
Utilizes clinical expertise to review medical records, ensuring clear rationale for determinations, adhering to evidence-based guidelines, and maintaining proper documentation while meeting client-mandated turnaround times and quality assurance...
Conduct patient interviews and create accurate medication lists. Coordinate clinical service visits between pharmacists and members. Provide practice support by contacting members, caregivers, and care team members. Coordinate care for program members.
Provide clinical guidance and perform utilization reviews for specialty pharmacy solutions. Collaborate with providers on evidence-based practices and enhance team expertise through education, focusing on improving clinical care and outcomes.
Evaluate and approve service requests based on medical necessity criteria, document essential information, and collaborate with internal teams to enhance departmental performance and member outcomes while managing caseload volume and adhering to...
Ensure timely billing of claims, monitor postings for accuracy and compliance, collect balances from insurance and clients, manage delinquent accounts, provide technical assistance, achieve performance goals, and communicate effectively.
Assist Commercial Account Managers with service requests, manage policy checks, issue certificates, and handle claims processing to enhance client experiences and ensure adherence to departmental workflows and procedures.
Review operative reports to apply coding accurately, perform coding for surgical encounters, verify information as needed, and utilize coding resources effectively while maintaining attention to detail and meeting deadlines.
Review operative reports to apply appropriate coding, perform coding for surgical encounters, verify relevant information, and initiate physician queries as necessary while ensuring adherence to coding standards and quality control.
Provide professional essay review and feedback for medical school and post-baccalaureate application components. Follow guidance and standards defined by the team and maintain regular contact. Bachelor's degree and 3 years of medical admissions experienc
Act as primary source for managing SNF delinquent accounts, investigate outstanding A/R, communicate with payers to resolve balances, create client reports, assist billing team, achieve performance goals.
Manage patient assignments for balanced provider panels, ensure compliance with healthcare regulations, assist in timely patient onboarding, and provide flexible support across various operational functions to enhance team efficiency.
Provide utilization review determinations for oncology, serve as a subject matter expert on evidence-based guidelines, and enhance clinical expertise through education sessions while collaborating on quality initiatives to improve clinical care.
Design and conduct studies to generate evidence for health programs, analyze diverse data sources, disseminate findings through various publications, and collaborate cross-functionally to translate results into impactful customer narratives.
Lead research process implementation, collaborate with the team, train and mentor team members, contribute to designing the research roadmap, and own the research function of specific product features. PhD or Master's degree in Deep Learning or equivalen
As a Research Consultant, manage client relationships, lead projects from design to delivery, and provide insights and recommendations. 5+ years of research experience and strong communication skills required.
Manage team performance while leading projects, setting and monitoring KPIs, and training junior members. Establish processes to enhance collaboration and ensure timely, quality deliverables in a fast-paced environment.
Conduct telephone surveys in English and Spanish, record responses accurately, check for accuracy and grammar, provide excellent customer service. Must be bilingual, self-motivated, and have good time management skills.
Assign and sequence diagnosis and procedure codes using electronic medical records, validate accuracy of data fields, and collaborate with leadership for clarification on ambiguous documentation to ensure optimal coding practices and compliance.
Oversee and manage all aspects of the compliance program and Privacy Program. Develop and administer Compliance Program and Privacy Program through coordination with stakeholders. Lead Executive Compliance Committee and prepare meeting minutes.
Design, develop, and implement new product features for new and existing systems. Determine technical feasibility and document and demonstrate solutions. Support and develop software engineers and work with operations and product teams to determine...
Lead a backend engineering team to architect scalable systems, mentor engineers, and optimize data pipelines while promoting best practices and solving technical challenges in a high-performance environment.
Build, operate, and improve products for customers, create engaging interfaces and APIs, contribute high-quality code, improve internal tools and processes, uphold high standards, mentor team members. Experienced, collaborative, results-driven,...
Job Summary
- Benefits:
Unlimited or Flexible PTO, Health Insurance, Paid Holidays, Paid Illness Leave, Paid Time Off, Career Development
- Location:
Work from Anywhere
- Type:
Full-time
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- Job Details:
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