Remote

Contribute to projects involving the application of statistical sampling such as Investigating improper Medicare and Medicaid billing Estimating fund recoupment associated with auditing programs Predicting improper billing for audit optimization Summarize and analyze claims data Produce analytic reports on statistical issues associated with auditing programs You'll be rew

Establish and implement standard policies, procedures processes and best practices across the company to promote compliance with applicable laws and contractual obligations Conduct state specific legal research and monitor changes in requirements to mitigate risks and achieve compliance Support the collection of data for regulatory filings, coordinate and develop reports,

$3,500 Sign on Bonus for External Candidates! Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's

Fully Remote | Flexible Scheduling | 1099 Contract

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Distributes drugs prescribed by physicians and other health practitioners Provides information to customers about medications and their use Focuses on providing a superior level of customer service Ensures compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by State Boards of Pharmacy Any other usual and c

Independently perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid demonstration waivers Design complex evaluation analytic plans that leverage mixed method approaches and include the identification of research questions, program relevant metrics, data sources, and statistical methods Work with comple

Direct and manage large evaluation contracts including technical direction, financial management, staff management, and client relations Design and conduct studies that require advanced empirical methods or mixed quantitative and qualitative evaluation methods Effectively oversees production of client ready deliverables Lead large proposals Lead research reports and manus

Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Collaboration with case management team Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere . As a team member

First to lead large evaluation and policy analysis projects. Leadership requires high levels of technical expertise and innovation, ensuring scientific excellence in the design and execution of the work. Leadership also requires financial and managerial acumen to guide a large, interdisciplinary team of consultants and deliver high quality products on time and within budg

Manage T4NG2 and VA(Veteran's Affairs) IT opportunities Prepare Bid/No Bid gate packages for each task order opportunity and creates/updates strategic account plans for the T4NG2 account Collaborate with the VA IT senior growth executives to provide strategic support in advancing the VA business and achieving growth objectives Conduct comprehensive research, management, a

Deliver remote care throughout an 8 week evidence based program Monitor participant progress, provide follow up communications and care coordination recommendations, and document session notes Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms Identify and respond to hig

Description External For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Lewin Group/OptumServe Consulting, a premier national health care and human services consulting and policy a