-
Medical Affairs Coordinator
6 days ago
LanceSoft West Columbia, United States· •50% Provides clinical expertise, research, and judgment to develop Local Coverage Determinations(LCDS) under the direction of medical director. Maintains LCDS once developed. · •35% Educates providers and internal customers on LCDS. Communicates with other interdepartmental ...
-
Medical Affairs Coordinator
3 weeks ago
Spectraforce Technologies West Columbia, United StatesJob Title: Medical Affairs Coordinator · Location: Columbia, SC 29203 · . (Remote) · Duration: 12 months assignment with possible conversion · Shift: Mon - Fri, 9am to 5pm EST. May require additional time/effort when needed · Payrate: $38/hr · Note: 2-3 rounds of interviews ...
-
Academic Affairs Coordinator
3 days ago
American University Washington, United StatesThe Kogod School of Business Academic Affairs team succeeds through a focus on teamwork, collaboration with campus partners, commitment to faculty support, and dedication to professional excellence. · Reporting to the · Academic Affairs Manager , the · Academic · Affairs · C ...
-
Faculty Affairs Coordinator
1 day ago
GW Medical Faculty Associates Washington, United StatesThe MFA Faculty Affairs Coordinator serves as a primary administrative point of contact for the office of Faculty Affairs at the MFA and the office of GWU SMHS Office of Faculty Affairs and other affiliated institutions for all the full-time, part-ti Faculty, Coordinator, Credent ...
-
Government Affairs Coordinator
1 week ago
Safari Club International Washington, United StatesJob Description Job Description Position: Government Affairs CoordinatorHours: Mon Fri, 8am 5pm in officeLocation: Washington, DC: some travel requiredDepartment: Advocacy and AdministrationWho We is an ancient tradition passed down from the earliest times of man to the present ...
-
Government Affairs Coordinator
1 week ago
Safari Club International Washington, United StatesJob Description · Job Description · Position: · Government Affairs Coordinator · Hours: · Mon – Fri, 8am – 5pm in office · Location: · Washington, DC: some travel required · Department: · Advocacy and Administration · Who We Are · Hunting is an ancient tradition passed down ...
-
Faculty Affairs Coordinator
20 hours ago
The GW Medical Faculty Associates Washington, United StatesThe GW Medical Faculty Associates (MFA) was incorporated in July 2000 as a not-for-profit, physician-led practice group. The organization functioned as an independent organization in support of The George Washington University School of Medicine and Sciences as a multi-specialty ...
-
Government Affairs Coordinator
1 week ago
Urban Institute Washington, United StatesAbout Urban Institute:At the Urban Institute, we believe in the power of evidence to improve lives and strengthen communities. As a nonprofit focusing on social and economic policy, our researchers and policy entrepreneurs open minds, shape decisions, and identify transformative ...
-
Associate Dean for Academic
3 weeks ago
InsideHigherEd Columbia, United States Administrative Jobs ,· Associate Dean for Academic & Student Affairs · University of South Carolina · Department: USC Salkehatchie Palmetto College · Advertised Salary Range: Salary is commensurate with education and experience. · Part/Full Time: Full Time · About UofSC · Diversity Statement · Adver ...
-
Content Director
1 day ago
LHH North Carolina, United StatesLHH is working with their global client looking to add a talented Director of Corporate Communications to the team. In this role, you will develop and leverage internal and external communications, thought leadership and support public affairs and CSR initiatives to enhance the b ...
-
Clinical Counselor
2 weeks ago
Columbia College Columbia, United StatesPosition: Clinical Counselor / Clinical Social Worker Location: Columbia, MO · Job Id: 2350 # of Openings: 1 Clincial Counselor / Clinical Social Worker · Department: Student Affairs, Wellness Center – Counseling Services Location: Columbia, MO · Type: Staff, Full time,10- ...
-
InsideHigherEd Columbia, United States· Associate Director of Student Involvement for Intercultural Education and Engagement (IEE) · University of South Carolina · Department: UPS Office of Student Involvement · Advertised Salary Range: $45,133 - $50,500; Salary commensurate with education and experience. · Part/Ful ...
-
University of South Carolina Columbia, United States Full timeJob Summary · Executive Assistant to the Vice Chancellor and Director of Intercollegiate Athletics · University of South Carolina Upstate · STAPO24 · Spartanburg, SC · Provide executive-level assistance and support to the Vice Chancellor and Director of Intercollegiate Athleti ...
-
Foundation Events Manager
3 weeks ago
Howard Community College Columbia, United States Full timePosition Information Position Title Foundation Events Manager FLSA Exempt FT/PT Full Time Hours Per Week Work Schedule M-F 8:30-5 Grade 12 General Responsibilities The Foundation Events Manager is responsible for managing fundraising events, other revenue-generating activities an ...
-
Coordination Specialist
1 day ago
Bechtel Corporation Richland, United StatesJob Summary · :In this role, you will perform administrative duties that require proficiency, accuracy, judgement, initiative, discretion, and knowledge of protocol. You will handle both routine and complicated items, such as coordinating travel, preparing expense reports, and co ...
-
Primary Care Nurse Practitioner
6 days ago
International SOS North Carolina, United StatesOverall Purpose of The Job · This position will support the US Department of Veterans Affairs Critical Staffing Program. The person in this position will represent International SOS and provide the services outlined below. · VAMC primary care physician assistant shall cover the ...
-
Instructor of French
3 weeks ago
InsideHigherEd Columbia, United States Faculty Jobs ,· Instructor of French · Department: CAS Languages, Literatures, and Cultures · Part/Full Time: Full Time · Advertised Salary Range: We offer a competitive salary and benefits package. · About UofSC · From the Upstate to the Lowcountry, the University of South Carolina system is ...
-
InsideHigherEd Columbia, United States· Associate Director for Residence Education and Student Engagement · University of South Carolina · Department: UPS Housing · Advertised Salary Range: $49,396 - $50,581; Salary commensurate with education and experience. · Part/Full Time: Full Time · About UofSC · Diversity Sta ...
-
Marketing Intern
3 weeks ago
InsideHigherEd Columbia, United States Administrative Jobs ,Logo:Posting Number:TMP00707PO24 · Job Code Title:Public Information Specialist · Advertised Title:Marketing Intern · Campus:Columbia · College/Division:Division of Academic Affairs and Provost · Department:PROV Center for Integrative and Experiential Learning · Salary:15.00 · Lo ...
-
Instructor of French
2 days ago
InsideHigherEd Columbia, United States Faculty Jobs ,Logo:Posting Number:FAC00089PO24 · Advertised Title:Instructor of French · Campus:Columbia · College/Division:College of Arts and Sciences · Department:CAS Languages, Literatures, and Cultures · Advertised Salary Range:We offer a competitive salary and benefits package. · Part/Fu ...
Medical Affairs Coordinator - West Columbia, United States - Professional Management Enterprises
Description
Seeking aRN
to function as a
Medical Affairs Coordinator . This position if fully remote. The schedule is M-F, 9am-5pm.
DUTIES:
Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions.
Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate.
Provides clinical expertise, research, and judgment to develop Local Coverage Determinations (LCDS). Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability.Required Skills and Abilities:
Knowledge of managed care or medical claims payment policy issues. Excellent verbal and written communication skills. Excellent customer service, organizational, presentation, analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Tools:
Microsoft Office. Working knowledge of database software. Knowledge of government/healthcare programs and contracts laws, regulations, coding, and approval practices. Knowledge of corporate administrative/medical policy for all lines of business. Knowledge of guidelines, benefits, and coverage for all lines of business.
Preferred Software and Tools:
Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve.
EDUCATION/
REQUIREMENTS:
Bachelor's degree - Nursing or other health related field.
OR, Associate's degree in Nursing with an active unrestricted
RNlicense from the United States and in the state of hire.
5 years clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas.
Required License and Certificate:
An active compact multistate unrestricted
RNlicense as defined by the Nurse Licensure Compact (NLC).
DUTIES:
Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions.
Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate.
Provides clinical expertise, research, and judgment to develop Local Coverage Determinations (LCDS). Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability.Required Skills and Abilities:
Knowledge of managed care or medical claims payment policy issues. Excellent verbal and written communication skills. Excellent customer service, organizational, presentation, analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Tools:
Microsoft Office. Working knowledge of database software. Knowledge of government/healthcare programs and contracts laws, regulations, coding, and approval practices. Knowledge of corporate administrative/medical policy for all lines of business. Knowledge of guidelines, benefits, and coverage for all lines of business.
Preferred Software and Tools:
Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve.
EDUCATION/
REQUIREMENTS:
Bachelor's degree - Nursing or other health related field.
OR, Associate's degree in Nursing with an active unrestricted
RNlicense from the United States and in the state of hire.
5 years clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas.
Required License and Certificate:
An active compact multistate unrestricted
RNlicense as defined by the Nurse Licensure Compact (NLC).
#J-18808-Ljbffr