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Clinical Appeals Reviewer

Company

V R Della Infotech Inc |

Newtown Square , Pennsylvania |

Duties: The Clinical Appeals Reviewer reports to the Supervisor, Appeals and Grievances and is responsible for processing appeals and grievances ensuring all milestones are within compliance. Outreaches to the appellant or their representative and is responsible for obtaining and reviewing medical records and packaging all pertinent information into a case for a determination. Directly interacts with providers to obtain additional clinical information as well as with members or their ad

Snaprecruit - ID: SD-CIE-718b278c827da214e4dc88eb23d2416c741e4debb6f0512054e7822fc877d505

Job origin: CIEPAL_ORGANIC_FEED

Clinical Appeals Reviewer

Company

Newtown Square , Pennsylvania |

Summary: The Clinical Appeals Reviewer plays a key role in processing appeals and grievances, ensuring compliance with regulatory timeframes and standards. This role involves clinical expertise, case investigation, and communication with providers, members, and regulatory entities to support accurate medical determinations. Position Info: Title: Clinical Appeals Reviewer Client: AmeriHealth Caritas Duration: 3 Months Location: 3875 West Chester Pike Newtown Square PA 19073 Work Mode: Remote

Snaprecruit - ID: SD-CIE-d93413b2c80184b037a7ffa386a40c52e6661871613461a99d996f61cb513bda

Job origin: CIEPAL_ORGANIC_FEED

Mobile Veterinarian

Company

Newtown Square , Pennsylvania |

Life is HAPPIER at Lap of Love Veterinary Hospice! Join Lap of Love as an In-Home, Associate Veterinarian in Newtown SquareCan you imagine working for a company that truly values its veterinarians and prioritizes your professional fulfillment and personal well-being? Established and owned by veterinarians, Lap of Love offers unparalleled professional freedom and a refreshing change of pace from in-clinic practice. Our doctors feel a profound sense of purpose in providing peaceful hospice and eut

Snaprecruit - ID: SD-WOR-5d907a5f3c285d35bc65a2515ef85d571de4c5bfa46510009f3aeb06bc45d091

Job origin: WORKABLE_ORGANIC_FEED

Hedis Coordinator

Company

V R Della Infotech Inc |

Newtown Square , Pennsylvania |

Duties: Review and abstract relevant data from medical records to ensure compliance with HEDIS measures, clinical information and treatment history Validate and verify the accuracy of abstracted data to ensure it meets quality standards and aligns with HEDIS specifications Work with Providers and clinical staff to obtain the necessary medical records Conduct quality checks on abstracted data to identify and resolve any errors or inconsistencies, ensuring high data integrity for reporting purpos

Snaprecruit - ID: SD-CIE-c5be06b8cbdd5402dae196d155e05d0d86dc82c2d613cddc9f2b80eeddf33eb2

Job origin: CIEPAL_ORGANIC_FEED

Hedis Coordinator

Company

Newtown Square , Pennsylvania |

Summary: The HEDIS Abstractor is responsible for reviewing and extracting data from medical records to ensure compliance with HEDIS measures, validate data accuracy, and support quality improvement initiatives. This role requires expertise in medical terminology, data abstraction, and adherence to HIPAA and confidentiality standards. Position Info: Title: HEDIS Coordinator Client: AmeriHealth Caritas Duration: 3 Months Location: 3875 West Chester Pike Newtown Square PA 19073 Work Mode: Remote

Snaprecruit - ID: SD-CIE-a7414b8ed35596ed8e0b1b27315a1960fe2190b6c4b97b836c00c3534b6f7201

Job origin: CIEPAL_ORGANIC_FEED

Hedis Data Reviewer

Company

Newtown Square , Pennsylvania |

Summary: The HEDIS Data Reviewer is responsible for abstracting, reviewing, and auditing medical records to support annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO quality reporting. This role involves coordinating medical record collection, applying HEDIS specifications, and maintaining high levels of accuracy and productivity. Position Info: Title: HEDIS Data Reviewer Client: AmeriHealth Caritas Duration: 3 Months Location: 3875 West Chester Pike Newtown Squa

Snaprecruit - ID: SD-CIE-6e421e5a054b0cc65c66db291ae01d4258543977d58606eefcef2abb8c858572

Job origin: CIEPAL_ORGANIC_FEED

Hedis Data Reviewer

Company

V R Della Infotech Inc |

Newtown Square , Pennsylvania |

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following: Coordination of the medical records identification process, collection activities and review. Performing and applying structured auditing abstraction

Snaprecruit - ID: SD-CIE-77ac3a4ea6010fa20f72de6f90987d9e3ffd3c4383dd1cdf16d5574258c474c7

Job origin: CIEPAL_ORGANIC_FEED

Mobile Veterinarian

Company

Newtown Square , Pennsylvania |

Life is HAPPIER at Lap of Love Veterinary Hospice! Join Lap of Love as an In-Home, Associate Veterinarian in Newtown SquareCan you imagine working for a company that truly values its veterinarians and prioritizes your professional fulfillment and personal well-being? Established and owned by veterinarians, Lap of Love offers unparalleled professional freedom and a refreshing change of pace from in-clinic practice. Our doctors feel a profound sense of purpose in providing peaceful hospice and eut

Snaprecruit - ID: SD-WOR-0517e4e7d84354f49e3d1e9c917e5ff5f84d49e4e04f41df36c1897647d971b6

Job origin: WORKABLE_ORGANIC_FEED

Mobile Veterinarian

Company

Newtown Square , Pennsylvania |

Life is HAPPIER at Lap of Love Veterinary Hospice! Join Lap of Love as an In-Home, Associate Veterinarian in Newtown SquareCan you imagine working for a company that truly values its veterinarians and prioritizes your professional fulfillment and personal well-being? Established and owned by veterinarians, Lap of Love offers unparalleled professional freedom and a refreshing change of pace from in-clinic practice. Our doctors feel a profound sense of purpose in providing peaceful hospice and eut

Snaprecruit - ID: SD-WOR-2dd027bd951752fe47a9145bebb03cafc7fff15e5b995cd01b44cc87bc543ee4

Job origin: WORKABLE_ORGANIC_FEED

Executive Assistant

Company

Mentis Systems |

Newtown Square , Pennsylvania |

Role :- Administrative / Executive Assistant Duration : 9+Months Client: SAP America Location: Remote 1. What are your strategies for managing your time when dealing with multiple urgent tasks simultaneously? 2. What strengths do you have that help you excel as an executive assistant? 3. Do you feel prepared to manage multiple responsibilities at once? 4. How do you follow through and hold yourself and others accountable? Overview: As a vital member of the SAP North America Midmark

Snaprecruit - ID: SD-CIE-70864e6a40ba7b4357449050b9fa9ab92519a8c02995995701031f8fdc2c9765

Job origin: CIEPAL_ORGANIC_FEED

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