17 evaluator jobs found

The University of Iowa Health Care department of Patient Financial Services is seeking a Coding Representative for an entry-level financial and insurance related position in the healthcare industry. In this role, you will review coding denials and determine if you need to assign new ICD-10 codes and CPT codes for professional outpatient services and professional inpatient services. The Coding Denial Follow Up Team (CDFT) Medical Coder will provide exceptional customer service to our external customers: patients, insurance contacts, etc; as well as internal customers. You will support our “Service Excellence” standards to all our customer groups, utilize tools and processes to make independent decisions and you will maintain integrity and treat internal and external customers respectfully. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM from the HSSB building at...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Social Work: https://youtube.com/embed/enRhz\ ua\ UU Total Rewards of a Allied Health Professional Duties of this position are, but not limited to: Provides clinical services in group and individual format when clinically appropriate which may include the following: Biofeedback, CBT- CP, Clinical Hypnosis, Mindfulness (CALM), Guided Imagery ,Acceptance and Commitment Therapy (ACT-D; ACT-CP), EMDR ,Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP)...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the team: UKG is seeking a Sales Director for our Customer Base Midmarket sales organization. At UKG we foster a company culture that supports success at every level, prioritizing our employees. While the challenges are significant, UKG provides ample support for our sales teams to thrive. About the role: As the Director, you'll be...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency This announcement is open to all US Citizens, HPTs and other federal agencies. Duties VA Careers - Social Work : https://youtube.com/embed/enRhz_ua_UU Total Rewards of a Allied Health Professional Duties of this position are, but not limited to: Provides clinical services in group and individual format when...

Become a part of our caring community and help us put health first Humana is evolving its marketing operations to enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/Product Manager - Marketing Resource Management (MRM) Capabilities, you'll own the roadmap for tools and workflows that support campaign intake, planning, approvals, and performance tracking. This role is central to enabling scalable, compliant, and insight-driven marketing operations. You'll help guide the transition to a modern resource management platform and evaluate opportunities to integrate with enterprise workflow systems to support intelligent orchestration. This role supports the day-to-day configuration and optimization of marketing resource management tools and workflows. You'll work closely with cross-functional teams-including Marketing, Creative, Legal, and IT-to ensure campaign planning and...

Operations Management Associate Job ID 250710 Posted 09-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Administrative Location(s) Remote - US - Remote - US - United States of America, San Jose - California - United States of America About the Role: As a CBRE Operations Management Associate, you will be responsible for completing day to day business support operations across a variety of business segments. This job is part of the Operations Management job function. They are responsible for coordinating staff functions and operations that support the organization's goals and strategies. What You'll Do: Develop a thorough business understanding and expertise across a variety of business segments through sales, marketing, and operations functions in support of unit objectives. Assist sales professionals in identifying potential sales opportunities and researching connections to turn cold calls into warm calls....

Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Coordinator (RCC) supervisory position that may have 3-11 direct reports that can be a mix of Merit, P&S and/or student positions and will serve as a resource for complex billing issues. You must have outstanding customer service skills, leadership abilities and excellent interpersonal and communication skills that will enable respectful interactions with a wide range of internal and external customers, including but not limited to; our patients and their families, insurance companies and third-party vendors. To be successful you will need strong analytical skills to perform quality assurance checks, productivity audits and a broad range of accounting and financial analysis to ensure effective and compliant organizational/department/unit operations. In addition to patient revenue account management, you will assist with and have responsibilities for interviewing, selection and training of new...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Cengage Group. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving innovation that helps millions of learners improve their lives and achieve their dreams through education. Our culture values inclusion, engagement, and discovery Our business is driven by our strong culture, and we know that creating an inclusive...

Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for GovCIO. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Overview GovCIO is seeking a Senior Order Management Representative to oversee all aspects of customer product and solution orders. This role ensures timely and accurate processing in alignment with departmental SLAs, while maintaining a strong focus on delivering exceptional customer satisfaction. This position will be a fully remote position located within the United States. Responsibilities Effectively oversee order management operations to ensure we meet defined SLA's...

Organizational Change Management Lead General Information Press space or enter keys to toggle section visibility Country United States Department ORGANIZATION LEARNING & DEVELOPMENT Date Thursday, December 4, 2025 Working time Full-time Ref# 20036687 Job Level Executive Manager Job Type Experienced Job Field ORGANIZATION LEARNING & DEVELOPMENT Seniority Level Mid-Senior Level Currency USD - United States - US Annual Base Salary Minimum 103,080 Annual Base Salary Maximum 206,160 The salary range above represents the low and high end in the local currency of Xerox's salary range for this position and is reflected in an annualized amount. Actual salaries will vary based on factors including, but not limited to, geographic location, market competition, and/or the successful applicant's education, experience, knowledge, skills, and abilities. The range listed is just one component of Xerox's total compensation package for...

Job Description We are seeking an experienced product leader to define and execute the strategy for the AI Agent and Agentic apps within the customer service domain as part of the Fusion CX Service product team. This includes developing intelligent, autonomous agents that enhance service request automation, knowledge management, agents that handle real-time digital customer interactions to drive self-service containment, and integration with Contact Center as a Service (CCaaS) platforms. You will lead a high-performing product team, collaborating closely with Engineering, User Experience, Sales, Marketing, Services, and Customer Success to deliver AI-driven solutions that transform customer service experiences. Strategy and Vision: Develop a compelling product vision and multi-year strategy for AI Agents in customer service, aligning with the company's overall objectives. Establish clear market positioning and value propositions to drive adoption and revenue...

Job Description The Oracle Muticloud team is defining the future of databases in the era of cross-cloud and AI. We're looking for a senior product management leader to help set the strategy and product focus for the Multicloud business. This role will work with a broad range of stakeholders across the Multicloud teams, the Oracle database teams, OCI, and our CSP partners to define product direction and ensure high pace execution on product development and go to market. As a Senior Product Management Leader on the OCI Multicloud team, you will be responsible fuel the success of OCI Multicloud solutions in partnership with industry leaders like AWS, Azure, and GCP. You will own and drive the product strategy that nails our customers' needs and innovates beyond the industry standard. You will work with a diverse set of stakeholders to take products from simple ideas all the way to market. As one of the leaders on the team, you will play a key role in shaping our product...

Your Blood . Your Hospital. Your Neighbors Have you been looking for purposeful work that contributes to a lifesaving mission? Pack with a purpose at LifeServe. We are currently looking for a part-time Product Management Technician / Driver to join our team in Davenport . This position is responsible for the timely and appropriate handling of orders and recordkeeping of blood products and services for customers and the transporting of blood products and/or specimens between service hospitals and LifeServe facilities. Product Management Technicians ensure the highest level of customer service to our hospital customers by managing inventory resources and timely deliveries. Through the selfless giving of volunteer blood donors, LifeServe Blood Center is able to serve more than 175 hospitals across Iowa, Nebraska, South Dakota, and Illinois by providing access to a safe, quality blood supply for hospital patients in their critical time of need. As a Product...

Become a part of our caring community and help us put health first Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to support modeling, reporting, and decision-making. Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation, partnering with teammates to implement data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with actuarial, financial, and clinical teams to assess and determine optimal data solutions. Provide strategic recommendations on data architecture and improvements. Support team in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary,...

Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members...

Summary The Registered Nurse- Case Management- Float falls under the clinical pathway, as a direct care nurse, and reports to the Clinical Manager, Patient Care Services Service Line This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below Duties Major duties include, but not limited to: Possess the ability to cross-cover all the necessary clinic areas and other responsibilities as assigned. Provides cover for anticipated and unanticipated absences of Case Managers Acts as a consultant in specialty clinical practice Identifies patient care needs in accordance with the established standards, policies, and...