Outpatient Counselor (Graduate Level - LGPC required) Remote or Hybrid Ellie Mental Health - 016Outpatient Counselor (Graduate Level - LGPC required) Remote or HybridRockville, MDRemoteWe are looking for Therapists: The perfect candidate will share our passion for improving and expanding access to quality mental health care and will thrive in a culture that emphasizes: autonomy, flexibility, creativity, authenticity, humor, compassion, acceptance and determination. Ellie makes the clinician’s experience the best it can be; providing excellent schedules while also providing centralized administrative, technology, referral and inquiry support, scheduling, client/therapist matching, billing and collections, and even CEU programs.
China Research Intern PT – Defense (Hybrid) BluePath LabsChina Research Intern PT – Defense (Hybrid)Washington, DCRemotePart timeChina Research Interns at BluePath contribute to our research and translation work at all stages, including by performing administrative tasks, gathering data, conducting open-source research and analysis, editing reports, proofreading translations, generating data visualizations, and testing software tools. We are actively seeking a China Research Intern to support open-source research and translation products relating to China's military, defense industrial base, technological development, and foreign policy.
Principal Software Engineer - Remote or Hybrid in MN and DC UnitedHealth Group IncPrincipal Software Engineer - Remote or Hybrid in MN and DCDCRemote$132,200–$226,600 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Serving all of UnitedHealth Group"s digital technology needs, the CDO team is responsible for driving outcomes across nearly 30 million+ human lives with UnitedHealthcare insurance, a number which puts UHC at the top of the pack as the largest managed care provider in the United States.
Principal Analytics Analyst - Healthcare Data SureScripts LLCPrincipal Analytics Analyst - Healthcare DataDCRemote$152,900–$186,900 / yearEvidence of leading complex, cross-functional analytics that drove material product, commercial, or strategic outcomes; preferred experience with medication adherence analytics, prior authorization and utilization management analytics, health economics and outcomes research (HEOR), and/or growth marketing analytics. Masters degree in Data Science, Statistics, Epidemiology, Health Economics, or related field required; 8+ years of experience in advanced analytics, with substantial healthcare analytics experience preferred.
Advanced Practice Provider (Hybrid) TapestryHealthAdvanced Practice Provider (Hybrid)Rockville, MarylandRemoteThey ensure proactive patient care through the review and discussion of Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI) & daily risk reports with facility healthcare professionals, including physicians, nurse practitioners, and social workers. Job Description: Tapestry Management Providers (TMPs) play a crucial role in delivering comprehensive, in-person clinical support to healthcare facilities.
Systems Engineer II (Systems Integration & Interoperability) :: Harrisburg, PA (Hybrid) ARK Solutions, Inc.Systems Engineer II (Systems Integration & Interoperability) :: Harrisburg, PA (Hybrid)Washington, DCRemoteThis role involves working closely with technical teams, clinical stakeholders, and vendors to ensure system readiness and operational success. The Systems Engineer II supports the design, integration, testing, deployment, and sustainment of enterprise health information technology solutions.
Lead Software Engineer - Remote or Hybrid in MN and DC UnitedHealth Group IncLead Software Engineer - Remote or Hybrid in MN and DCDCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Principal Threat Surface Analyst - Remote or Hybrid in MN or DC UnitedHealth Group IncPrincipal Threat Surface Analyst - Remote or Hybrid in MN or DCWashington, DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Experience implementing and supporting enterprise endpoint platforms such as: Microsoft Defender for Endpoint, Trend Micro, CrowdStrike, SentinelOne, Carbon Black.
NewSenior Technical Manager - Remote or Hybrid in MN or DC UnitedHealth Group IncSenior Technical Manager - Remote or Hybrid in MN or DCWashington, DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. This role blends deep technical expertise, program leadership, and stakeholder management to deliver transformational initiatives across healthcare domains, leveraging modern technologies including AI, automation, and cloud platforms.
Project Cooridnator Intern - Fall Recruitment MD/DC/VA (Hybrid) Blue Cross and Blue Shield AssociationProject Cooridnator Intern - Fall Recruitment MD/DC/VA (Hybrid)DCRemote$18,720–$26,000 / yearNote: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
Nurse Practitioner Hybrid-Remote DaVita IncNurse Practitioner Hybrid-RemoteTowson, MDRemote$85,000–$135,000 / yearPreferred Qualifications: • Experience in Value-Based Care or Population Health, including Medicare Advantage documentation and Health Risk Assessments • 5+ years' experience as a Family NP, Primary Care NP, or in Internal Medicine, Cardiology, Nephrology, or Endocrinology • Experience managing population health with a focus on reducing hospitalizations • Prior experience with Cerner or similar EHR systems. Clinical Care & Evaluation: The primary responsibility is completing Comprehensive Health Evaluations (CHEs) to assess and manage comorbid conditions while addressing medical, social, emotional, and financial needs.
China Research Intern PT - Defense (Hybrid) BluePath LabsChina Research Intern PT - Defense (Hybrid)DCRemoteWork Description: China Research Interns at BluePath contribute to our research and translation work at all stages, including by performing administrative tasks, gathering data, conducting open-source research and analysis, editing reports, proofreading translations, generating data visualizations, and testing software tools. We are actively seeking a China Research Intern to support open-source research and translation products relating to China's military, defense industrial base, technological development, and foreign policy.
Prin Cybersecurity Analyst - Hybrid in Minneapolis MN, Raleigh NC, DC or Remote UnitedHealth Group IncPrin Cybersecurity Analyst - Hybrid in Minneapolis MN, Raleigh NC, DC or RemoteWashington, DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. You will lead the design, development, and maintenance of Splunk SOAR playbooks and custom applications, translating complex security operations and incident response requirements into robust, scalable automation solutions.
Director, Technical Product Management - Hybrid in Chicago IL, Minneapolis MN, DC or Remote UnitedHealth Group IncDirector, Technical Product Management - Hybrid in Chicago IL, Minneapolis MN, DC or RemoteWashington, DCRemote$134,600–$230,800 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. This role acts as a critical technical expert and liaison, partnering closely with design, engineering, data science, and scrum teams to shape feature requirements and execute on next-generation automated customer experience solutions utilizing cloud contact center and AI platforms such as Amazon Connect, Amazon Lex, and Google Dialogflow.
Principal Data Engineering - Remote or Hybrid in MN or DC UnitedHealth Group IncPrincipal Data Engineering - Remote or Hybrid in MN or DCWashington, DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Work within Optum"s Enterprise Data Strategy to consume and share data in the most efficient manner - data mesh enablement, data mastering, data governance, data certification and self- service.
Senior Manager, Technology Product Management - Technology & Cyber Governance - Remote or Hybrid in MN or DC UnitedHealth Group IncSenior Manager, Technology Product Management - Technology & Cyber Governance - Remote or Hybrid in MN or DCDCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As part of governance, collaborate with Technology and Cybersecurity teams to ensure they define Key Risk Indicators (KRIs), Key Control Indicators (KCIs), and performance metrics, including thresholds aligned to risk appetite that support the GRC metrics framework.
Senior Design Engineer – Wastewater & Hydraulic Modeling (Remote/Hybrid) Talent Consulting ExpertsSenior Design Engineer – Wastewater & Hydraulic Modeling (Remote/Hybrid)Arlington, VirginiaRemoteWastewaterEngineer #WaterInfrastructure #EnvironmentalEngineering #HydraulicModeling #StormwaterManagement #EPACompliance #Sustainability #CivilEngineering #RemoteWork #HiringNow #EngineeringCareers . Collaborate with Multidisciplinary Teams: Work with project managers, environmental engineers, and construction teams to deliver innovative water infrastructure solutions.
Seeking an Independently Licensed Psychotherapist for a Flexible Remote/Hybrid Position Capitol Hill Consortium for Counseling & ConsultationSeeking an Independently Licensed Psychotherapist for a Flexible Remote/Hybrid PositionDCRemoteWe provide a wide range of services, including individual, couples, family, and group therapy, as well as psychological testing for clients across the lifespan. Join CapitolHill Consortium for Counseling & Consultation LLC (CCCC), a growing multidisciplinary practice seeking licensed clinicians to expand our team.
Fall and Winter Therapist - Contract/1099 Remote/Hybrid Optional Blackbird HealthFall and Winter Therapist - Contract/1099 Remote/Hybrid OptionalGaithersburg, MDRemote$70–$100 / hourAs a Fall and Winter Therapist, you will provide evidence-based telehealth therapy services to children, adolescents, and young adults while working collaboratively within an interdisciplinary pediatric behavioral health team. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs.
NewSr. Accountant - Remote or Hybrid in MN or | Prairie, | UnitedHealth GroupSr. Accountant - Remote or Hybrid in MN or | Prairie, |Washington, DCRemote$60,200–$107,400 / yearPrimary Responsibilities: The Senior Accountant, Optum Whole Health Solutions, is responsible for owning the end-to-end accounting function for Benefits Hub vendors, including accounting treatment, reconciliation, and financial reporting, supporting multiple teams across the organization. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available) A&E Television Networks, LLCDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available)MDRemote$159,643–$186,783 / yearThis role partners closely with Global Content Sales leadership and cross-functional stakeholders to develop business strategies, evaluate new market opportunities, structure commercial partnerships, and deliver executive-level insights that inform key strategic decisions. WHAT YOU'LL DO: Lead and execute business development initiatives across international FAST channel platforms, strategic distribution partnerships, and emerging digital media platforms to drive revenue, growth and expand market presence.
Lead AI/ML Engineer-Remote Nationwide or Hybrid in MN/DC UnitedHealth Group IncLead AI/ML Engineer-Remote Nationwide or Hybrid in MN/DCDCRemote$145,500–$249,500 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Lead AI/ML Engineer will provide hands-on technical leadership to build scalable, production-ready AI/ML solutions that convert complex healthcare data into actionable workflows for care, quality, finance, and provider enablement teams.
Field Registered Nurse (RN) Wellness Health ServicesField Registered Nurse (RN)Washington, DCRemoteIn this dynamic role, you will provide high-quality, compassionate care while working closely with a dedicated team of healthcare professionals. Our commitment to quality care and patient satisfaction has earned us a loyal clientele and a supportive work environment where employees thrive and grow.
Clinical Quality Performance Specialist Senior AmeriHealth CaritasClinical Quality Performance Specialist SeniorWashington, DCRemote$92,200–$125,600 / yearManages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions.
Remote Registered Nurse RN RylemRemote Registered Nurse RNBaltimore, MDRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting GroupHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderWashington DC, District of ColumbiaRemoteOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
Licensed Practical Nurse (Telehealth Care Technician) U.S. Department of Veterans AffairsLicensed Practical Nurse (Telehealth Care Technician)DCRemote$70,621–$91,809 / yeard) Ability to proactively assist the RN or MD/DO in addressing patients needs for medication/treatments, accurately administering prescribed medications/treatments according to established policies/procedures and appropriately recording administration and patients response to medications/treatments received. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorCheltenham, MarylandRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baltimore, MDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Clinical Documentation Specialist RN Johns Hopkins Medical Management CorporationClinical Documentation Specialist RNBaltimore, MarylandRemoteOverview: Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Operating at competent level with, but not limited to: Microsoft Office Suite, web-browsers,email, electronic health records, online collaboration software, virtual meeting applications.
Licensed Practical Nurse U.S. Department of Veterans AffairsLicensed Practical NurseFort Belvoir, VARemote$55,480–$86,393 / yearGS-04: Six months of qualifying experience as an LPN or LVN; OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; OR Graduation from an approved school of at least 24 months duration. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patients condition before, during, and following the procedure.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationBaltimore, MDRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Registered Nurse (RN) - Day Triage Runner (Not Remote) Capital CaringRegistered Nurse (RN) - Day Triage Runner (Not Remote)Washington, District of ColumbiaRemoteTriage RN's who experience technical issues not caused by the company equipment or network (i.e. offsite power outage, personal internet outage) are required to report the situation to leadership immediately, and have 30 minutes to resolve the technical issue. Clients include current and prospective patients, friends, or family members, Powers of Attorney, care providers, physicians, nursing staff, nursing homes and Assisted Living Facilities (ALFs), hospital staff, and others, as appropriate.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBaltimore, MDRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Clinical Navigator (Remote) Blue Cross and Blue Shield AssociationClinical Navigator (Remote)Baltimore, MDRemote$72,216–$143,429 / yearUtilizing experience and skills in both care management and utilization management, the Clinical Navigator will leverage proficiency in established MCG, in addition to administrative/regulatory considerations, to determine medical necessity, appropriate level(s) of care, and case management to engage members/enrollees, their families and other support systems in discharge planning. The role will function as a liaison working telephonically with the hospital care team including case managers, social workers and discharge planners to ensure CareFirst members/enrollees receive the appropriate level of care and partner to address any potential barriers to discharge.
Remote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AK PharmD Live CorpRemote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AKDCRemoteDeliver personalized care management and coordination services Conduct patient assessments and develop individualized care plans Support chronic disease management (e.g., diabetes, hypertension, CHF, COPD) Provide education on disease states, medications, and self-management strategies Utilize motivational interviewing techniques to enhance adherence and engagement Collaborate with providers and care teams to align treatment plans Identify care gaps, risks, and barriers to optimal outcomes Maintain accurate, compliant, and timely documentation Support care transitions and follow-up coordination. Strong clinical judgment and attention to detail Excellent communication and interpersonal skills Ability to build rapport and trust in a remote setting Patient-centered, outcomes-driven mindset Self-motivated and able to work independently High level of professionalism and accountability.
Clinical Appeals Nurse (Remote) Blue Cross and Blue Shield AssociationClinical Appeals Nurse (Remote)DCRemote$67,320–$133,705 / yearESSENTIAL FUNCTIONS: Investigates, interprets, and analyzes written appeals and reconsideration requests from multiple sources including applicants, subscribers, attorneys, group administrators, internal stake holders and any other initiators. Investigates, interprets, analyzes and prioritizes appeal requests using nursing expert knowledge and all available clinical information for both medical and behavioral health conditions, as well as medical policies, to determine if the adverse coverage and adverse decisions are appropriate.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseWashington, DCRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Primary Care Advanced Practice Provider (NP OR PA) Devoted Health ServicesPrimary Care Advanced Practice Provider (NP OR PA)WashingtonRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Utilization Review Nurse - Managed Care Johns Hopkins HospitalUtilization Review Nurse - Managed CareHanover, MDRemoteWe are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives.
Site Visit Lead/Investigator General Dynamics CorpSite Visit Lead/InvestigatorWashington, DCRemote$89,250–$120,750 / yearKey Responsibilities: The Site Visit Lead/Investigator is responsible for: Compliance Monitoring: Plan and conduct both routine and investigative onsite and desk audits of transplant hospitals, Organ Procurement Organizations (OPOs), and other OPTN member institutions. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerBaltimore, MDRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerBaltimore, MDRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
Clinical Documentation Specialist II Johns Hopkins HospitalClinical Documentation Specialist IIBaltimore, MDRemoteRHIT.RHIA: Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS). We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.