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JOB SUMMARY:
Ensure consistency in outcomes of divisional functions conducted by Health Management & Integration (HM&I) staff through ongoing training, monitoring, and evaluation. The incumbent will...
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JOB SUMMARY:
Perform on-site medical record reviews and quality assurance reviews of BCBSRI claims to ensure proper reimbursement within existing BCBSRI billing policies and reimbursement principles....
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JOB DESCRIPTION
JOB SUMMARY
Utilize the Case Management process of assessment, planning, implementation, coordination, monitoring, and evaluation on an ongoing basis. The process is dynamic and...
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JOB SUMMARY:
Responsible for monitoring, analyzing, and formulating positions on federal and state legislation, regulations, and other national and local industry initiatives that present...
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JOB SUMMARY:
Develop, implement, manage, and make sustainable, the Company’s continuous improvement initiative. Lead a team of professionals to achieve significant and lasting improvements in...
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JOB SUMMARY:
Provides project management, direction, general mentoring, training and assistance on project management methodologies, tools and techniques and business case and project plan...
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Help negotiate, analyze, support and monitor contractual arrangements between Blue Cross and participating providers, and provide data and reimbursement analysis and recommendations to management on...
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No one has provided
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JOB SUMMARY
Assist with monitoring, controlling, processing and reconciliation of the payroll checks, and reports of the automated and manual payroll systems for active and retired, in state and out...
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Responsible for the coordination of assigned copy projects as related to the Commercial and Medicare segments as well as Blue Cross Blue Shield Association items. These projects include a variety of...
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