COMMUNITY HEALTH GROUP in United States
31 jobs at COMMUNITY HEALTH GROUP in United States
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Senior Compliance Analyst
1 week ago
Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Under the supervision of the Compliance and Ethics Officer ("CO") and other Compliance Department staff as applicable, help ensure Community Health Group ("CHG") complies with applicable federal, State, and local laws, regulations, and contract requirements thr ...
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supervisor - case management ii supervisor
1 week ago
Community Health Group Chula Vista, CA , USA, United StatesPOSITION SUMMARY · Provides supervision to the Clinical Case Managers in Community Health Group's (CHG's) High-Risk Case Management program, and is responsible for the optimal and timely delivery of proactive and collaborative case management and care coordination activities. · C ...
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Compliance Analyst
1 week ago
Community Health Group Chula Vista, United States*** · Conducts internal audits of all departments and oversees internal monitoring activities conducted by others to determine that core department activities are in compliance with established management control systems, provides analysis and reports of audits to Compliance Mana ...
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Transportation Dispatch Coordinator
1 week ago
Community Health Group Chula Vista, United StatesJob Description · Job DescriptionPOSITION SUMMARY · The Transportation Coordinator is responsible for general oversight of transportation services and ensuring the overall quality assurance of Transportation Services. Responsible for coordinating, scheduling and arranging necessa ...
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Compliance Auditor
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Level · Experienced · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $76, $88,096.00 Salary/year · Description · POSITION SUMMARY · The Compliance Auditor will support the director in compliance with audits of various functional area ...
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Senior Accountant
2 weeks ago
Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Under moderate supervision, the Senior Accountant performs various accounting tasks to support the Finance Department. · COMPLIANCE WITH REGULATIONS · Works closely with all departments necessary to ensure that the processes, programs and services are accomp ...
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Claims Compliance Supervisor
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $76, $88,096.25 Salary/year · Description · POSITION SUMMARY · Responsible for Claims Department and Provider Services Department compliance with all Medicare and Medi-Cal regulatory requi ...
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Senior Accountant
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $82, $96,905.88 Salary/year · Description · POSITION SUMMARY · Under moderate supervision, the Senior Accountant performs various accounting tasks to support the Finance Department. · COM ...
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Director of Finance
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $160, $196,261.99 Salary/year · Description · POSITION SUMMARY · Maximize return on financial assets by establishing financial policies, procedures, controls and reporting systems. · COMP ...
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Case Manager II
5 days ago
Community Health Group Chula Vista, United StatesJob Description · Job DescriptionPOSITION SUMMARY · Works with internal and external health care team to provide oversight of care coordination activities and promote effective and appropriate utilization of services and management of members in Case Management. · COMPLIANCE WIT ...
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IHA Outreach Specialist
1 week ago
Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Promotes timely and appropriate scheduling of IHAs for Medicare Advantage Organizations (MAO)and Special Needs Plan (SNP) members. Demonstrates experience in working directly with elder and disabled populations and providers in coordinating care and services. D ...
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Claims Compliance Supervisor
1 week ago
Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Responsible for Claims Department and Provider Services Department compliance with all Medicare and Medi-Cal regulatory requirements. Leads weekly and monthly compliance audits, including (but not limited to): acknowledgement, adjudication turnaround time, lag, ...
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Claims Auditor
2 weeks ago
Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Promotes and maintains the quality and accuracy rate of claims paid by Community Health Group. Conducts pre-disbursement audits for fee for service claims. The Claims Auditor compiles, tracks and trends audit results and recommends suggests training and other ...
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Business Systems Analyst
4 days ago
Community Health Group Chula Vista, United StatesJob Description · Job DescriptionPOSITION SUMMARY · Meets the needs of system users by working with the appropriate staff to determine business requirements; gathering information to define and program reports and applications to meet those business needs; providing technical ass ...
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IHA Outreach Specialist
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $ $22.00 Hourly · Description · POSITION SUMMARY · Promotes timely and appropriate scheduling of IHAs for Medicare Advantage Organizations (MAO)and Special Needs Plan (SNP) members. Demons ...
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EDI Programmer/Analyst
2 days ago
Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Meets the needs of system users by meeting independently or as an Information Systems (IS) team member with the appropriate people to determine business needs; gathering information in order to define and develop reports and applications to meet those business ...
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Claims Auditor
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $ $27.71 Hourly · Description · POSITION SUMMARY · Promotes and maintains the quality and accuracy rate of claims paid by CommunityHealth Group. Conducts pre-disbursement audits for fee fo ...
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Community Health Group Chula Vista, United StatesPOSITION SUMMARY · Responsible for the timely and quality completion of the Health Risk Assessment (HRA) for the Cal MediConnect (Medi-Cal/Medicare dual eligible) and Medi-Cal Seniors and Persons with Disabilities members. Demonstrates experience interacting in a positive manner ...
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Supervisor - Case Management II Supervisor
1 week ago
Community Health Group Chula Vista, United StatesJob Details · Job Location · Corporate Headquarters - Chula Vista, CA · Salary Range · $102, $122,585.93 Salary/year · Description · POSITION SUMMARY · Provides supervision to the Clinical Case Managers in Community Health Group's (CHG's) High-Risk Case Management program, a ...
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Supervisor - Member Services Supervisor
2 weeks ago
Community Health Group Chula Vista, United StatesJob Description · Job Description · POSITION SUMMARY · Supervises the daily activities of Member Services Specialists (MSS) and coordinates daily operations. Acts as liaison between membership, provider, CHG management, and staff on issues related to member representation. · W ...