Review and research assigned claims by navigating multiple systems and platforms and accurately capturing the data/information necessary for processing (e.g., verify pricing/Fee Schedules, contracts and Letters of Agreement, prior authorizations, applicable member benefits) Pay, deny, or pend claims as appropriate in a timely manner. Manually enters claims into QNXT as ne

Information Management Developer Leads analysis, design, development, and testing of operational and regulatory reporting for Medicare and Medicaid lines of business. Produces data sets for end users and or regulatory entities. Produces data reconciliation between various data sources to ensure regulatory compliance. Extracts and collects data for performing queries and w

Evaluate and analyze data using T SQL, Excel, and PowerBI and other BI tools to design, develop, and test analytic solutions from various data sources. Analyze, Interpret, and validate results of analytic, BI, and reporting solutions produced by the reporting, BI, and Data Architecture teams. Create and revise process flows, data flows, data requirement specifications, us

We are seeking a highly skilled and experienced Principal Data Engineer to join our dynamic team. As a key member of our data engineering team, you will play a crucial role in designing, developing, and maintaining our data infrastructure and platform integration solutions. The Principal Data Engineer will be responsible for advancing our data engineering capabilities, en

Develops and executes test plans and performs other software quality assurance tasks. Trains end users on the operation of software applications. Develops end user documentation. Provides ongoing support of the software applications by identifying and resolving issues and escalating as needed for timely resolution. Provides high quality, customer focused services. Runs re

The Manager will be a member of the team supporting a portfolio of vendor and in house developed applications utilized at Massachusetts General Hospital and other Mass General Brigham hospital members. The manager's primary responsibilities will be working on projects and support activities for the Biscom platform including the electronic faxing and secure file transfer a

The Application Coordinator reports directly to an Application Manager within the Willow Application team; s/he is part of a team dedicated to configuring, building, testing and activating the Willow Pharmacy application. 1. Solid understanding of inpatient pharmacy clinical and operational workflow. 2. Clinical experience in pharmacy is preferred. 3. Electronic medical r

Manages IS initiatives within the context of the larger environment including competing priorities, staffing levels, budgetary concerns. Provides appropriate and timely problem escalation reporting with potential solutions and/or risk mitigation strategies to IS and/or hospital management Demonstrates extensive knowledge of Blood Bank and Blood Administration applications

Collects & organizes patient data Maintains records and databases Uses software programs to generate graphs and reports Assists with recruiting patients for clinical trials Obtains patient study data from medical records, physicians, etc. Verifies accuracy of study forms Updates study forms per protocol Documents patient visits and procedures Assists with regulatory binde

Are you ready to build America's clean energy future with the team that will deliver? Form Energy is an American energy technology and manufacturing company. We are pioneering a new class of iron air batteries to enable our electric grid to run on renewable, reliable, and affordable energy, every day of the year. Form Energy has been recognized by TIME as "One of the Best

Major job duties will involve Maintains a detailed inventory of barcoded human post mortem frozen tissue blocks and processed biospecimens in the center's biobank, with detailed tracking information related to receipt and distribution details. Processes frozen human tissue blocks to generate mounted slides and tissue aliquots for use in histologic, molecular, and biochemi

J1 STUDENT Requisition ID 2024 51799 Category Housekeeping Job Location US MA Somerville Property La Quinta Boston Somerville Compensation Type Hourly Highgate Hotels Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York,

Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate ind

Show a thorough understanding of Levi Strauss & Company's history and heritage Demonstrate excellent product knowledge Provide exceptional customer service to every Levi's Store customer using The 3C's of Success Connect, Consult & Close Meet or exceed established store and individual sales and performance goals daily Comply with Levi's Stores cash handling guidelines Com

The Executive Director role will execute on the MGB Care Continuum utilization management strategy, including, but not limited to Setting MGB wide Care Continuum utilization management strategy and priorities and directing an updated utilization management leadership and governance structure in collaboration with MGB revenue cycle leadership Designing, launching, and over