Mga Trabaho sa Elevance Health sa Pilipinas

The technical supervisor oversees the maintenance and installation of various systems ensuring compliance with safety standards and managing staff performance. · dirección work schedules inspecting projects for quality assurance addressing unsafe workplace conditions · lead and s ...

Responsible for all facilities management of assigned site Primary duties may include but are not limited to Ensures physical infrastructure of business is operational Identifies areas for greater efficiency and cost-saving May support other sites as needed Oversees and coordinat ...

+Job Summary · Responsible for serving as the operations point of contact for Medical Management and/or Medical Coding day to day operations. · + · ...

Manage team of clinicians/coders to promote quality member outcomes. · Ensure adherence to medical policy. · Oversee complex clinical audit operations. · ...

Auditing inpatient medical records to ensure clinical documentation supports conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. · ...

The Clinical Quality Analyst is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. · •    Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and o ...

The Process Documentation Resource is responsible for analyzing · mapping and documenting business processes to support workflow design system implementation and organizational alignment. · This role requires expertise in process mapping and visualization tools with the ability t ...

+ Manage a team of nurses and allied Healthcare professionals in the optimal execution of operations activities ensuring that each team member meets / exceeds their goals and metrics on a daily, weekly and monthly basis. · Position Title: Mgr Asst Medical Mgmt · Responsible for s ...

The Project Manager is responsible for working with business partners to identify and implement small to medium projects that support achievement of simple to complex unit or corporate goals. · ...

Clinical Trainer- Core (PHL) position involves analyzing training solutions for business performance gaps based on business needs. · ...

Responsible for working with business partners to identify and implement small to medium projects that support achievement of simple to complex unit or corporate goals. · ...

Responsible for providing accurate and timely controls of general ledger account reconciliation's and preparation of journal entries. · BS/BA in Accounting or Finance preferred. · 1-2 years directly related experience preferred. · ...

Responsible for working with business partners to identify and implement small to medium projects that support achievement of simple to complex unit or corporate goals. · ...

Serving in an interim basis as a nurse trainee in the USRN Clinical Academy while obtaining NCLEX certification and USRN license. · ...

The technical supervisor oversees the maintenance and installation of various systems ensuring compliance with safety standards and managing staff performance. · Directing work schedules inspecting projects for quality assurance and addressing unsafe workplace conditions. · Lead ...

Analiza, diseña, desarrolla e implementa soluciones de capacitación para brechas de desempeño empresarial basadas en las necesidades del negocio. Realiza análisis de necesidades de capacitación, diseña y desarrolla programas educativos. · ...

Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. · Primary duties may include but are not limited to: Analyzes and audits ...

Responsible for providing marketing support for National Account, Large Group and Group Retiree Solutions client events. · BA/BS degree and a minimum of 3 years of related experience; · ...

Responsible to manage a team of clinicians and/or medical coders charged with promoting quality member outcomes. · Suggests and develops high quality, high value concept recommendations. · ...

The Clinical Quality Evaluator evaluates the quality of services and interactions provided by organizations within the enterprise. · Primary duties include evaluating quality, identifying errors or communications issues, tracking audit results, conducting root cause analysis and ...