Coding Lead Renown HealthCoding LeadReno, NVLicense(s): Certification(s): CCS or RHIA/RHIT with a minimum of four years of facility coding experience is required Computer / Typing: Must possess, or be able to obtain within 90 days,the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-9-CM/ ICD-10-CM diagnostic codes and procedural codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers.
SUPERVISOR CODING Carson Tahoe Regional HealthcareSUPERVISOR CODINGCarson City, NVWe serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. The Outpatient Coding Supervisor provides oversight and direction for the activities of the Outpatient Coding team of the Health Information Management Department to meet the quality, utilization, and financial needs of the organization.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorNV$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Manager of Coding Renown HealthManager of CodingReno, NVThis position is responsible for developing, planning, maintaining, and coordinating orientation programs and in-services for staff development competency validation programs and rotations for coding trainees This position faces the major challenges of fostering positive relationships between physicians, the community, and the organization with the purpose of maintaining cost-effective and high-quality documentation; designing and coordinating educational programs; complying with state, federal and governing body regulations; and working cooperatively with other departments to achieve goals of the organization. This position is responsible for the day-to-day management of coding staff to ensure timely coding/entry of ICD.9/ICD.10, and CPT codes, This position oversees the coding and workflows of daily unbilled accounts through work queues to ensure timely coding/billing and compliance.
Supervisor of Coding Renown HealthSupervisor of CodingReno, NVIncumbent must be trained in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded and to provide direction and mentoring of staff to ensure their understanding of coding principles and correct coding initiatives. The incumbent performs ICD-9-CM/ICD-10-CM/PCS and CPT coding, coordinates HIM initiatives to ensure accurate reimbursement in the Revenue Cycle, monitors productivity, and performs retrospective reviews for coding accuracy and educational opportunities.
CODING DIAGNOSTICIAN Carson Tahoe Regional HealthcareCODING DIAGNOSTICIANCarson City, NVRemoteAssigns and audits compliant, complete, and accurate APC's, ICD-9-CM diagnosis codes, CPT/HCPCS procedure codes, E/M facility level codes, and modifiers for the hospital outpatient and inpatient services to include Cardiac Catheterization, Lab, and Electrophysiology, along with the technical codes. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Medical Coding Specialist Reno Orthopedic CenterMedical Coding SpecialistReno, NVFor surgical cases, you may also communicate with vendors regarding implants, manage inventory and purchase orders, and enter related charges into the practice management system to ensure accurate, compliant, and efficient billing operations. We prioritize work-life balance by fostering a supportive, team-oriented environment where workloads are managed realistically, schedules are respected, and personal well-being is valued.
NewConsultative Coding Professional Humana IncConsultative Coding ProfessionalNVRemote$59,300–$80,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Associate Coding Specialist-Inpt Renown HealthAssociate Coding Specialist-InptReno, NVNature and Scope: Incumbent provides entry level Clinical Outpatient coding support through the Health Information Management department and works in conjunction with the Health Information Management leadership to complete all applicable coding assignments that can include Laboratory, Radiology, Outpatient and hospital clinical visits, Bariatric visits, and other coding assignments as directed by leadership, with the purpose of developing proficiency with coding Emergency Department, Same Day Surgery, and Observation medical records OR Inpatient medical records For compliance, this position must adhere to CMS Official Guidelines for Coding and Reporting. Job responsibilities include the accurate assignment of ICD-9-CM/ ICD-10-CM diagnostic codes by proficiently translating diagnostic statements, physician orders, and other pertinent documentation; Leading to coding accuracy and abstracting of pertinent data elements from documentation provided to report and code for reimbursement of revenue.
IPA Consultative Coding Manager Humana IncIPA Consultative Coding ManagerNVRemote$86,300–$118,700 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. This includes monitoring coding staff workload and redistributing resources as needed to meet market operational demands, developing KPIs to monitor the performance of the consultative coding team, tracking and monitoring responses to provider questions for consistency, and analyzing trends to identify opportunities for improved documentation and coding.
Coding Specialist-Outpt Renown HealthCoding Specialist-OutptReno, NVJob Responsibilities The accurate assignment of ICD-10-CM diagnostic codes and procedural CPT codes by proficiently translating diagnostic statements, physician orders, and other pertinent documentation; leading to coding accuracy and abstracting of pertinent data elements from documentation provided to report and code for reimbursement. Nature and Scope Incumbent provides intermediate Clinical outpatient coding support through the Health Information Management department and works in conjunction with the Health Information Management leadership to complete all applicable coding assignments that can include Laboratory, Radiology, Emergency Department, Same Day Surgery, and Observation encounters.
Urgent Care - Partner Veterinarian - Sparks , {State_Code UsvtaUrgent Care - Partner Veterinarian - Sparks , {State_CodeSparks, NevadaAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Sparks, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
CODER OUTPATIENT PROFESSIONAL Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONALCarson City, NVThe Clinical Coding Specialist Level I assigns compliant, complete, and accurate ICD diagnosis codes for the hospital component of outpatient ancillary services, based upon the clinical documentation provided within the medical record. Clarify with the appropriate provider and HIM analysts all incomplete, ambiguous, and / or conflicting clinical documentation when further specificity is needed for accurate and complete diagnosis(es) code assignment.
Coder II Healthcare Outcomes Performance CompanyCoder IIReno, NevadaDemonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
Nocturnist - Hospitalist - Full-Time, Part-Time or Per Diem Tahoe Forest Health SystemNocturnist - Hospitalist - Full-Time, Part-Time or Per DiemTruckee, CaliforniaProvide inpatient hospital care, including admission histories and physicals, daily rounds / patient visits, procedures, discharges, and other appropriate care in accordance with approved clinical privileges, Hospital and Medical Staff policies, bylaws and rules and regulations. Along with other members of the Hospitalist team, provide on-call coverage for shifts as assigned, on-site or off-site by telephone, responding within time frames established by the Medical Staff for emergency, urgent and routine requests.
Professional Services Coder Renown HealthProfessional Services CoderReno, NVOther responsibilities include: Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers. Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC, or number of units) Uses CCI edit software to check bundling issues, modifier appropriateness, and LCDs/NCDs for medical necessity.
CODER INPATIENT Carson Tahoe Regional HealthcareCODER INPATIENTCarson City, NVAs senior level coding specialist, assigns compliant, complete and accurate coding MS-DRG's, ICD-10-CM diagnosis codes, ICD-10-CM procedure codes, and Present on Admission (POA) indicators for the hospital inpatient, and LTACH on services based upon the clinical documentation provided within the medical record. Ensures accurate, timely, and appropriate assignment of MS-DRG's, APR-DRG's, ICD diagnosis codes, ICD procedure codes, CPT, SOI and POA indicators, for the purpose of facilitating billing, internal and external reporting, research, and compliance with regulatory and payer guidelines.
CODER OUTPATIENT PROFESSIONAL SURGERY ER Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONAL SURGERY ERCarson City, NVActive; Minimum of one of the following credentials: AHIMA RHIA or AHIMA RHIT or AHIMA CCS or CCS-P or AAPC CASCC or AAPC CGSC or AAPC COC or AAPC CPC or AAPC CIRCC or AAPC CANPC or AAPC CCVTC or AAPC CCC. As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC's, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)NV$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
NewRevenue Integrity Automation Analyst (Epic) The CSI CompaniesRevenue Integrity Automation Analyst (Epic)Reno, NVRemoteYou will be responsible for designing, building, and maintaining automated billing edits and revenue integrity workflows within Epic and related systems, with a focus on improving charge accuracy, reducing avoidable denials, and minimizing manual intervention. This role plays a key part in advancing ourclient's shift toward a proactive, technology-enabled revenue cycle, where revenue integrity is driven by automation, intelligent edits, and upstream control - not manual correction after the fact.
Sr. Provider Network Manager University Health Services IncSr. Provider Network ManagerRENO, NVKnowledge of Medicare Advantage and ACA risk scores and ability to educate providers and key levers to further enable the health plan's success Understanding of provider office dynamics and optimal approaches to communicating and educating providers and provider staff Understanding of provider reimbursements and coinciding challenges (FFS, CPT code reimbursement, etc.) Ability to effectively communicate in English, both verbally and in writing. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Medical Assistant UnitedHealth Group IncMedical AssistantReno, NVClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. The Medical Assistant performs a variety of back office activities to assist providers in conducting quality clinics including administering injections diagnostic testing phlebotomy quality surveys and various other procedures.
Claims Examiner University Health Services IncClaims ExaminerRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Radiologist Tahoe Forest Health SystemRadiologistTruckee, CaliforniaLicensed, Board-certified and credentialed physician, practicing in the specialty of Radiology, interpreting diagnostic imaging tests that involve the use of x-ray, ultrasound, MRI, CT, PET CT, or mammography equipment and performing interventional radiology procedures, all within the scope of practice for Radiology, as defined by the Hospital’s Medical Staff and physician’s clinical privileges approved by the Board of Directors. Responsibilities may include participation in management’s process for selecting and training clinical employees, as requested; delegation of direct and indirect patient care activities to appropriate personnel; addressing complaints and resolving problems.
Family Medicine Physician Tahoe Forest Health SystemFamily Medicine PhysicianTruckee, CaliforniaExamine patients, take medical histories, prescribe medications, counsel patients, order and/or perform diagnostic tests and perform procedures within the scope of practice for Family Medicine, as defined by the Hospital’s Medical Staff and physician’s clinical privileges approved by the Board of Directors. Responsibilities may include participation in management’s process for selecting and training clinical employees, as requested; delegation of direct and indirect patient care activities to appropriate personnel; addressing complaints and resolving problems.
CLINIC RECEPTIONIST II Carson Tahoe Regional HealthcareCLINIC RECEPTIONIST IICarson City, NVEnsures patients have signed all necessary paperwork including but not limited to welcome packets and paperwork needed in advance of an appointment. Schedules previous and established patient appointments following the scheduling guidelines for each appointment type.
BUSINESS TEACHER Bridgeport Public School DistrBUSINESS TEACHERCarson City, NV$51,079–$107,539 / yearJOB GOAL: To develop in each pupil an understanding of our American business system and its place in the nation's economy; to provide knowledge needed for intelligent consumption of business services; to develop practical business skills for personal use or for use in business occupation; to encourage pupils to develop work and personal habits essential for success in business. Instructs pupils in importance and significance of accuracy, neatness, efficiency, resourcefulness, and good work habits in obtaining and retaining employment in business Evaluates each pupil's performance, knowledge, and skills in course being taught; prepares progress reports and employment references for pupils as required.
CANCER REGISTRY SPECIALIST 1 - UNDERFILL State of NevadaCANCER REGISTRY SPECIALIST 1 - UNDERFILLCarson City, NV$52,200–$76,608.72 / yearServe as the Data Quality Assurance Coordinator; assist in the development and implementation of a comprehensive quality assurance program; objectively and systematically review and evaluate the quality and appropriateness of cancer data collection policies and procedures; monitor compliance with reporting requirements to ensure accuracy, completeness and timeliness of submitted cancer cases; perform quality assurance audits on abstracted medical data; evaluate the extent of data discrepancies; resolve data discrepancies and implement data modifications and/or corrective action as appropriate; research and correct data as necessary; provide feedback to reporting entities regarding quality assessment of their submitted data. Serve as the Education Training Coordinator; assist in the development and implementation of training modules to ensure the correct reporting and accurate coding of cancer data; train internal and external stakeholders regarding changes to federal and State reporting requirements; perform one-on-one refresher training when corrective action is noted during quality assurance audits; develop and present informational presentations at seminar and conferences.
Hospice Registered Nurse UnitedHealth Group IncHospice Registered NurseCarson City, NVPrimary Responsibilities Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight 48 hours of referral Identifies the patientsfamilys physical psychosocial and environmental needs and re-assesses as needed no less than every fifteen 15 days Initiates and coordinates the plan of care Documents problems appropriate goals interventions and patientfamily response to hospice care Collaborates with the patientfamily attending physician and other members of the IDG in providing patient and family care daily Instructs and supervises the patientfamily in self-care techniques when appropriate Maintains accurate and relevant clinical notes regarding the patients condition. Clinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog.
Field Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS)NV$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Clinical Case Manager (Sign-on Bonus) Accountable Care Transactions, Inc.Clinical Case Manager (Sign-on Bonus)Carson City, NVYou bring licensed clinical judgment to the team's most complex and highest-risk situations, conduct assessments within your scope of practice, support care planning within an interdisciplinary care team, and serve as the escalation point when members present with behavioral health, crisis, or safety concerns. While this role has no direct reports, the Clinical Case Manager is a leader on the team, providing clinical oversight, case consultation, and hands-on assistance to CHWs as they engage members and address health-related social needs.
Clinical Case Manager (Sign-on Bonus) Activate CareClinical Case Manager (Sign-on Bonus)Carson City, NV$73,000–$80,000You bring licensed clinical judgment to the team's most complex and highest-risk situations, conduct assessments within your scope of practice, support care planning within an interdisciplinary care team, and serve as the escalation point when members present with behavioral health, crisis, or safety concerns. While this role has no direct reports, the Clinical Case Manager is a leader on the team, providing clinical oversight, case consultation, and hands-on assistance to CHWs as they engage members and address health-related social needs.
Director of Business Office Renown HealthDirector of Business OfficeReno, NVNature and Scope The Director of Billing provides comprehensive leadership for all hospital and professional billing activities, including claim production, edits and charge reconciliation, timely submission, denial prevention and resolution, credit balance management, and compliance with federal and state regulations as well as third-party payor requirements. Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Payer Contract Specialist Renown HealthPayer Contract SpecialistReno, NVThe incumbent shall have the following responsibilities: Coordinate administrative tasks with internal departments to address questions, issues, and activities related to provider contracts Maintain records for correspondence and documentation in relation to established contracts and those in progress Maintain a complete and accurate record of all executed agreements and associated rate schedules Solve any contract-related problems that may arise with other parties and internally within the department and investigate/identify solutions for contractual issues Streamline communication and assist in automating processes Identify recurring documentation or process issues and recommend improvements to templates or information requirements Partner with internal stakeholders to address escalations related to provider payment, network participation, and directory accuracy Participate in complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal workgroups and committees, ensuring compliance Prepare, review, and process routine LOA agreements, approval requests, and other related documentation using approved templates Work closely with the Payer Contract Administrator and serve as a backup when needed. The incumbent must possess: Effective time and project management skills to be able to plan and monitor activities to ensure achievement of departmental goals Strong interpersonal skills to effectively interface with all levels of staff, providers, vendors, and business-related associates.
Urologist Tahoe Forest Health SystemUrologistTruckee, CaliforniaExamine patients, take medical histories, prescribe medications, counsel patients, order and/or perform diagnostic tests and perform surgeries and minor procedures within the scope of practice for Urology, as defined by the Hospital’s Medical Staff and physician’s clinical privileges approved by the Board of Directors. Responsibilities may include participation in management’s process for selecting and training clinical employees, as requested; delegation of direct and indirect patient care activities to appropriate personnel; addressing complaints and resolving problems.
Development Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantCarson City, NVThe 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.
CODER OUTPATIENT PROFESSIONAL SURGERY ER PER DIEM Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONAL SURGERY ER PER DIEMCarson City, NVActive; Minimum of one of the following credentials: o AHIMA RHIA or AHIMA RHIT or AHIMA CCS or CCS-P or AAPC CASCC or AAPC CGSC or AAPC COC or AAPC CPC or AAPC CIRCC or AAPC CANPC or AAPC CCVTC or AAPC CCC. As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC's, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers.
PFS Representative CBO Billing Follow-up Denials Mgt Banner HealthPFS Representative CBO Billing Follow-up Denials MgtNVRemote$18.02–$27.03 / hourAs assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
NewBilling Clerk Aston CarterBilling ClerkReno, NVJob DescriptionThe Billing Clerk is responsible for managing the billing process from start to finish, ensuring accurate customer quotes, accurate and timely invoicing, maintaining up-to-date customer records, and resolving billing-related inquiries. Working closely with supervisors and managers, this role verifies charges, prepares invoices and credit memos, and issues them to customers via mail or email.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NV$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Medical Director - ENT CVS Health CorpMedical Director - ENTNV$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.
NewMedical Director-Behavioral Health-Crisis Care Center Renown HealthMedical Director-Behavioral Health-Crisis Care CenterReno, NVPosition Purpose The Medical Director is one of the health plans clinical leaders and is responsible for helping to develop and implement health plan policies on patient care facilitation, serving as a medical liaison with contracted physicians, assisting in the discussion surrounding Quality Management, Case Management, and Utilization Review programs. Computer / Typing: Must be proficient in Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer for online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Truckee, California$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making soundclinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerNV$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.
NewClaim Clerk CCMSIClaim ClerkReno, Nevada$18–$22 / hourAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. This position focuses on clerical and administrative support for our claims team, including new claim setup, appointment scheduling, medical provider coordination, document management, and processing medical bills.
Data Conversion Lead MaximusData Conversion LeadReno, NVFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
ACCOUNTING ASSISTANT 2-MINIMUM QUALIFICATIONS WAIVED State of NevadaACCOUNTING ASSISTANT 2-MINIMUM QUALIFICATIONS WAIVEDNevada, NV$42,636.96–$61,721.28 / yearAbility to: identify and apply established budgetary and financial recordkeeping requirements for the maintenance of accounts; recognize problems or discrepancies in accounts; research a problem or question to a successful conclusion; compile and summarize data for agency reports; distribute expenditures to a variety of subordinate accounts; effectively identify and apply statutes, rules, regulations and department/agency policies as applied to verifying accounting documents generated by an accounting system; read and understand legal contracts and grants; use established formulas as needed to complete accounting documents and develop spreadsheets; prepare and process travel arrangements and claims; recognize problems or discrepancies in payroll, accounts payable or accounts receivable data and make corrections; resolve problems in payroll coding and make corrections; and all knowledge, skills and abilities required at the lower level. Accounting Assistants must, as the majority of their duties, supervise and participate in the performance of clerical accounting work in the maintenance of accounts and accounting records for State agencies, following State and agency accounting procedures in the areas of payroll, budgetary accounting, cash flow, revenues and expenditures.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONV$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 Ryder System IncApplication Security EngineerCarson City, NVCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.