clinical systems project manager Jobs in columbia, md

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Biomedical Engineer III, Medical Imaging - HTM

Kaiser Permanente

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Hyattsville, Maryland, USA

Full-time

Description: Job Summary: In addition to the responsibilities listed below, this position is responsible for assisting with standard and non-standard corrective repairs, routine preventive maintenance, and acceptance testing on all diagnostic imaging systems; preparing diagnostic imaging studies to be transferred to digital imaging environment with minimal day-to-day oversight; and performing installations of standard and non-standard diagnostic imaging systems, electronic image transfer syste
Posted 25 days ago | Updated 11 hours ago

Medical Staff Office Specialist III (KFH/HP)

Kaiser Permanente

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Hyattsville, Maryland, USA

Full-time

Description: Job Summary: Requests and reviews primary source information and verifications, with regular review from manager. Identifies and plans for resolution of standard and nonstandard gaps in vendor relationships and escalates, as needed. Serves as a main point of contact for external queries regarding practitioner status. Evaluates applications and supporting documents. Applies and begins to suggest improvements to credentialing and privileging processes. Evaluates standard and nonstan
Posted 41 days ago | Updated 10 hours ago

ECW Revenue Cycle Applications Analyst

Synergis

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Remote

Contract

TITLE: ECW Revenue Cycle Applications Analyst LOCATION: Remote ANTICIPATED DURATION: 6+ months HOURS: Open to FT or PT hours during day shift As a Revenue Cycle Applications Analyst, you will play a pivotal role in the successful implementation and support of our practice management and revenue cycle applications. Your primary responsibility will be to provide comprehensive support to users, ensuring the effective utilization of software and computer systems that facilitate revenue cycle opera
Easy Apply
Posted 2 days ago | Updated 2 days ago

Epic Application Analyst - Cadence/Prelude (Remote Option)

OU Health

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Remote

Full-time

Job DescriptionThis position may be performed remotely from the following locations within the United States of America: Arkansas, Colorado, Florida, Georgia, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wisconsin. General Description: The EHR Application Analyst will assist in the development, support and functionality roll
Posted 17 days ago

Supervisor, Behavioral Health (Utilization Management)

CalOptima

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Remote

Full-time

Supervisor, Behavioral Health (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit's prior authorization, concurrent review processes and transition of care. The in
Posted 12 days ago

Clinician (Behavioral Health)

CalOptima

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Remote

Full-time

Clinician (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Clinician (Behavioral Health) to join our team. The Clinician (Behavioral Health) is responsible for completing telephonic behavioral health screenings and determining member behavioral health level of care needs, which includes telephonic behavioral health crisis intervention, higher level of care referrals, and coordination of care between physical and behavioral health. The incumbent coordina
Posted 26 days ago

Supervisor, Behavioral Health (Utilization Management)

CalOptima

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Remote

Full-time

Supervisor, Behavioral Health (Utilization Management) CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit s prior authorization, concurrent review processes and transition of care. The incumbent w
Posted 13 days ago

Clinical Auditor, Sr.

CalOptima

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Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring
Posted 23 days ago

Site Reliability Engineer

Pro Search, Inc.

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Remote

Contract

Job Title: Systems Reliability Engineer Location: Remote Schedule: Monday Friday, 9:00 AM 5:00 PM EST Job Description: Our client seeks a Systems Reliability Engineer to support and manage cloud-based data pipelines and integrations, using machine learning and rules-based classification for high-impact clinical insights initiatives. Join a team of talented software and data engineers, collaborating with data scientists to drive innovation. Top Required Skillsets: Proficiency with AWS Services: A
Easy Apply
Posted 6 days ago

Mid - Level Project Manager

GovCIO

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Remote

Full-time

Overview GovCIO is looking for a Mid-Level Project Manager to join our Health Clinical Services Product Line team. The candidate needs to have experience in large organizations, preferably with the Department of Veterans Affairs. This position will be fully remote within the United States with core hours of operation from Monday to Friday from 8 AM to 5 PM ET. Responsibilities The candidate will be responsible for the day-to-day planning and coordination, status reports with issues and risks
Posted 2 days ago | Updated moments ago

Program Analyst

GovCIO

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Remote

Full-time

Overview GovCIO is looking for a Program Analyst to join our Health Clinical Services Product Line team. The candidate needs to have experience in large organizations, preferably with the Department of Veterans Affairs (VA). This position will be fully remote within the United States and core hours of operation are Monday to Friday from 8 AM to 5 PM ET. Responsibilities The candidate will be responsible for the day-to-day release support and coordination, status reports, and issues and risks
Posted 2 days ago | Updated moments ago

QI Nurse Specialist (LVN)

CalOptima

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Remote

Full-time

QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements
Posted 23 days ago

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

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Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a
Posted 26 days ago

Personal Care Coordinator (HRA Outreach) (Bilingual in Farsi or Vietnamese)

CalOptima

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Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual in Farsi or Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual in Farsi or Vietnamese) to join our team. The Personal Care Coordinator (HRA Outreach) will support the members in completing their health risk assessment (HRA). The incumbent will ensure communication of the member's HRA and care plan with the member, primary care provider (PCP) and health care tea
Posted 12 days ago

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese)

CalOptima

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Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) to join our team. The Personal Care Coordinator (HRA Outreach) will support the members in completing their health risk assessment (HRA). The incumbent will ensure communication of the member's HRA and care plan with the member, primary care provider (PCP) and health care team. The incumbent w
Posted 25 days ago

Program Manager (Strategic Development)

CalOptima

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Remote

Full-time

Program Manager (Strategic Development) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager (Strategic Development) to join our team. The Program Manager (PM) for Strategic Development plays a vital role in the program design, development, implementation and support of strategic initiatives, pilots and programs related to the department's priorities. The incumbent will be responsible for coordination, implementation, execution and completion of tasks supportin
Posted 3 days ago

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese)

CalOptima

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Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) to join our team. The Personal Care Coordinator (HRA Outreach) will support the members in completing their health risk assessment (HRA). The incumbent will ensure communication of the member's HRA and care plan with the member, primary care provider (PCP) and health care team. The incumbent w
Posted 25 days ago

Care Manager (Transitional Care Services Maternal Health)

CalOptima

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Remote

Full-time

Care Manager (Transitional Care Services Maternal Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services Maternal Health) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Care Manager for Transitional Care Services (TCS) Maternal Health will facilitate communication and coordination among all participant
Posted 26 days ago

Social Worker (Care Manager) (MSSP)

CalOptima

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Remote

Full-time

Social Worker (Care Manager) (MSSP) CalOptima CalOptima Health is seeking a highly motivated an experienced Social Worker (Care Manager) (MSSP) to join our team. This Social Worker (Care Manager) will assess prospective members for the various programs available. The incumbent will be responsible for developing, implementing, monitoring, modifying and documenting care plans. The incumbent will accept referrals for case management and will make recommendations for the appropriate level of care an
Posted 3 days ago

Program Specialist (Behavioral Health)

CalOptima

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Remote

Full-time

Program Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Behavioral Health) to join our team. The Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activitie
Posted 26 days ago