Medical Claim Analyst CVS Health CorpMedical Claim AnalystLA$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Development Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantNew Orleans, LAThe firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
Wound Care Nurse - Lpn-Lvn - Full Time Project RestorixWound Care Nurse - Lpn-Lvn - Full TimeMetairie, LAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Wound Care Nurse - RN - Full Time Project RestorixWound Care Nurse - RN - Full TimeMetairie, LAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
MDS Clinical Care Coordinator - Audubon Retirement Village COMMCARE CORPORATIONMDS Clinical Care Coordinator - Audubon Retirement VillageNew Orleans, LAFull timeIn this vital role, youll ensure that our residents receive the highest level of care while collaborating with a dedicated team, providing exceptional clinical leadership and support. What You Bring to the Table: Essential Qualifications: Conduct comprehensive assessments of patients' medical records, including medical history, diagnoses, and treatment plans.
Senior Software Engineer (Python) - Senior Associate PricewaterhouseCoopers LLPSenior Software Engineer (Python) - Senior AssociateNew Orleans, LA$77,000–$202,000 / yearWithin our Cloud Engineering, Data & Analytics practice, you will leverage your technical skills and creative thinking to design, code, and test applications that redefine industries and deliver exceptional user experiences. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Medical Director - ENT CVS Health CorpMedical Director - ENTLA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director -Spine CVS Health CorpMedical Director -SpineLARemote$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerLA$83,430–$222,480 / yearCVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerLA$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Senior Manager - Software Development Engineering CVS Health CorpSenior Manager - Software Development EngineeringLA$106,605–$284,280 / year3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOLA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Application Security Engineer (REMOTE) EnerSysApplication Security Engineer (REMOTE)LARemote$117,200–$146,600 / yearCollaborate within an expanding Cybersecurity team, and work closely with internal EnerSys teams to ensure new and continued compliance with cybersecurity frameworks and required programs and initiatives. Serve as a primary liaison between the Cybersecurity and development teams, ensuring security is integrated into design, development, deployment, and operations.
Engineering Manager-Technical Product Owner PwCEngineering Manager-Technical Product OwnerNew Orleans, LA$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Product Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives-driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
Senior Technical Product Owner PwCSenior Technical Product OwnerNew Orleans, LA$95,000–$106,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Product Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives-driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
Engineering Manager- Technical Program Manager PwCEngineering Manager- Technical Program ManagerNew Orleans, LA$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. Guide teams in the application of Acceptance Test Driven Development (ATDD), Continuous Integration/Continuous Delivery (CI/CD), and application development frameworks to enhance quality, speed, and functionality.