Lead or Senior QA Tester with MMIS or Medicare or Medicaid Experience - Morrisville

+Liquidia Technologies is seeking a Market Access Medical Science Liaison (MAMSL) to serve as a field-based scientific and strategic expert supporting managed care, Medicaid, and specialty pharmacy stakeholders involved in the access, education, and real-world utilization of YUTR ...

Join our team at Yardley Rehabilitation and Healthcare Center as an MDS Coordinator. · Proudly supported by Marquis Health Consulting Services · Full-time and part-time opportunities available · Monday-Friday in Office · Ensure timely and accurate MDS assessments. · Verify compli ...

Acentra Health is looking for a Clinical Assessor to join our growing team. · Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, · using state-approved standardized assessment tool(s). · ...

The Community Health Worker uses engagement strategies and strong community connections to assess and assist members to identify and seek resources that support their unmet health needs. · This is a full-time hybrid opportunity.There is no expectation of coming into the office ro ...

The Encounter Analyst I reviews and monitors adjudicated claims for file submission and upstream processing and communicates with provider agencies and internal departments regarding claims submission denial management and system updates.This position is fulltime remote Selected ...

The TCL Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. · ...

The TCL Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. · Conduct Assessments and Planning · Coordinate and Lead community transitions · ...

Copley Hospital is in search of a Care Manager- Discharge Planner Supervisor to join its team. The role contributes to the transformation of the healthcare system into one that meets the demands for safety, quality, patient-centered and affordable care. · ...

The Quality Improvement Specialist plans and executes organization-wide improvement projects to improve organizational performance and promote efficient use of resources through effective design measurement and analysis of key clinical and operational processes. · Manage interdep ...

Mercalis es un socio comercial integrado en ciencias de la vida que ofrece soluciones comprehensivas que abarcan toda la cadena del valor en salud. Nuestra tecnología impulsada por resultados y experiencia probada en industrias nos ayudan a navegar por los complejos mercados de c ...

Mercalis is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. · ...

The Care Coordinator provides inbound and outbound phone support and serves as the primary contact for payers, patients, caregivers, specialty pharmacies, site of care centers, · specialty distributors, pharmacy compounders, and providers. · Facilitates a collaborative process th ...

· Mercalis es una sociedad comercializadora de vida que ofrece soluciones integrales en toda la cadena de valor sanitaria. Fomenta una cultura que promueve individualidad y ofrece oportunidades para la creatividad, el crecimiento y el éxito mientras fomenta un ambiente equipo. · ...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. · ...

This Business Analyst position will support reporting through identified databases for analyzing and producing provider network adequacy reporting. This position will be responsible for analyzing data, identifying parameters and generating reports pertaining to network provider m ...

A Direct Care Worker (DCW) provides personal care and home support services in the Morrisville area. · Assists with personal hygiene, mobility, dressing, feeding, · maintaining a clean environment. · ...

The Business Analyst-PN Crisis System role will develop and analyze business performance reports utilizing EDI claims and encounter data. · This position will report and present crisis system utilization and performance data to internal and external stakeholders on a regular basi ...

The TCL Diversion Clinician is responsible for reviewing and interpreting documentation for continued TCL eligibility. · This position will allow the successful candidate to work a primarily remote schedule. They will be required to work onsite to the Alliance Morrisville, NC off ...

The TCL Diversion Clinician is responsible for reviewing and interpreting documentation for continued TCL eligibility. · This position will allow the successful candidate to work a primarily remote schedule.They will be required to work onsite to the Alliance office (Wake, Cumber ...

Serves as the program coordinator and liaison for 340B-related matters in conjunction with the Pharmacy Manager. · Ensures that policies and procedures are developed, implemented, · maintained according to organizational requirements. · ...