- Molina Healthcare (St. Paul, MN)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Clinical Policy reviews and evaluating existing clinical policies, proposes suggested improvements to ... market trends. Improves existing department processes. **KNOWLEDGE/SKILLS/ABILITIES** + Proficiency in clinical policy through skills in literature searching and… more
- The County of Los Angeles (Los Angeles, CA)
- …in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about ... in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Genesis Healthcare (Philadelphia, PA)
- …by conducting a comprehensive analytical review of patient's medical records. Appeal Writer / Reimbursement Analyst will write sound, sensible and factual ... appeal decisions that may be in breach of published regulations or payer policy guidelines.Uses clinical evidence and/or regulatory arguments to prove appeal… more