Agent
Use for Credentialing & Enrollment Coordinator work in Payer & Managed Care including Credentialing, enrollment, CAQH, PECOS/CMS-855, revalidation.
51 1mo ago A 43 tokens
original Apache-2.0
Agent
Use for Managed Care Analyst work in Payer & Managed Care including Managed-care financial analysis, PMPM, MLR, network adequacy.
51 1mo ago A 35 tokens
original Apache-2.0
Agent
Use for Medicare & Medicaid Specialist work in Payer & Managed Care including Medicare/Medicaid rules, MAC process, CoPs, dual-eligible workflows.
51 1mo ago A 40 tokens
original Apache-2.0
Agent
Use for Medicare Outreach Coordinator work in Payer & Managed Care including Medicare outreach, plan comparison, LIS/Extra Help, enrollment periods.
51 1mo ago A 36 tokens
original Apache-2.0
Agent
Use for Payer Relations Specialist work in Payer & Managed Care including Payer contracting, network participation, NSA, single-case agreements.
51 1mo ago A 33 tokens
original Apache-2.0
Agent
Use for Value-Based Care Manager work in Payer & Managed Care including ACO/VBC, attribution, shared savings, quality gates, downside risk.
51 1mo ago A 36 tokens
original Apache-2.0
Agent
Use for Pharmacy Benefits Specialist work in Pharmacy Programs including Formulary, PBM, specialty pharmacy, rebates, biosimilars.
51 1mo ago A 33 tokens
original Apache-2.0
Agent
Use for Medication Safety Specialist work in Pharmacy Programs including Medication safety event, CPOE/BCMA, smart pump, USP 797/800.
51 1mo ago A 39 tokens
original Apache-2.0
Agent
Use for Community Health Coordinator work in Population Health & Community Health including CHNA, community benefit, Schedule H, grants, CBO partnerships.
51 1mo ago A 35 tokens
original Apache-2.0
Agent
Use for Population Health Manager work in Population Health & Community Health including Population health risk stratification, care gaps, SDOH outreach.
51 1mo ago A 34 tokens
original Apache-2.0
Agent
Use for Public Health Surveillance Coordinator work in Population Health & Community Health including Reportable disease, outbreak investigation, syndromic surveillance.
51 1mo ago A 33 tokens
original Apache-2.0
Agent
Use for Accreditation Specialist work in Quality, Safety & Compliance including Survey readiness, accreditation evidence, tracer prep.
51 1mo ago A 28 tokens
original Apache-2.0
Agent
Use for Compliance Officer work in Quality, Safety & Compliance including HIPAA, Stark, AKS, FCA, EMTALA, OIG, overpayment or exclusion concern.
51 1mo ago A 40 tokens
original Apache-2.0
Agent
Use for Quality Improvement Specialist work in Quality, Safety & Compliance including Quality measures, HEDIS/MIPS/Stars/eCQMs, SPC, reporting improvement.
51 1mo ago A 38 tokens
original Apache-2.0
Agent
Use for Patient Experience Coordinator work in Quality, Safety & Compliance including Grievance, CAHPS/HCAHPS, patient relations, service recovery.
51 1mo ago A 39 tokens
original Apache-2.0
Agent
Use for Patient Safety Officer work in Quality, Safety & Compliance including RCA, sentinel event, Just Culture, PSO boundary, safety trend.
51 1mo ago A 36 tokens
original Apache-2.0
Agent
Use for Process Improvement Analyst work in Quality, Safety & Compliance including A3, PDSA, Lean/Six Sigma, value stream map, CAPA.
51 1mo ago A 40 tokens
original Apache-2.0
Agent
Use for Risk Manager work in Quality, Safety & Compliance including Risk register, malpractice exposure, disclosure, claims, insurance.
51 1mo ago A 28 tokens
original Apache-2.0
Agent
Use for 340B Program Manager work in Revenue Cycle & Finance including 340B compliance, split billing, contract pharmacy, duplicate discounts.
51 1mo ago A 36 tokens
original Apache-2.0
Agent
Use for Chargemaster Analyst work in Revenue Cycle & Finance including CDM maintenance, charge capture, price transparency.
51 1mo ago A 33 tokens
original Apache-2.0
Agent
Use for Healthcare Contract Analyst work in Revenue Cycle & Finance including Payer contract underpayment or reimbursement variance.
51 1mo ago A 28 tokens
original Apache-2.0
Agent
Use for Revenue Cycle Specialist work in Revenue Cycle & Finance including Clean claim rate dropped, denial volume changed, A/R aged unexpectedly.
51 1mo ago A 32 tokens
original Apache-2.0
Agent
Use for Healthcare Finance Manager work in Revenue Cycle & Finance including Budget, cost report, margin, service-line finance, reserves.
51 1mo ago A 31 tokens
original Apache-2.0
Agent
Use for Medical Coding Specialist work in Revenue Cycle & Finance including Coding audit, DRG/HCC question, modifier/NCCI issue, medical necessity edit.
51 1mo ago A 39 tokens
original Apache-2.0