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HealthEdge is hiring a USRN to process and review complex member and provider appeals and grievances. The role evaluates medical necessity, prepares recommendations and correspondence, and maintains accurate documentation in line with service-level agreements and regulatory standards. Responsibilities Investigate and process complex grievances and appeals requests from members and providers Perform reviews of inpatie

Responsibilities Review clinical documentation to ensure compliance with state, federal, and agency standards Conduct quality assurance audits for CHHA and LHCSA clinical records, including OASIS documentation and coding reviews Analyze documentation trends and identify opportunities to improve quality, compliance, and patient outcomes Partner with clinical leaders and field staff to provide education, coaching, and

Highmark Inc. is a healthcare organization seeking a Clinical Quality Management Analyst - RN to support compliance, process improvement, medical record review, coding, and member and provider satisfaction initiatives. The role analyzes clinical and operational data, conducts audits and site visits, educates providers, and supports quality, accreditation, credentialing, and regulatory compliance programs. Responsibil

Habitat Health provides integrated medical and social care to older adults through the PACE program. The Compliance Manager oversees readiness for and management of CMS and State Administering Agency audits, reports audit findings and metrics, and partners with internal teams to strengthen compliance and audit outcomes. Responsibilities Audit readiness activities for CMS and SAA audits, including internal monitoring

Ramp is, at its core, an engineering company, and is on a mission to build the best engineering team in the US! We are looking for iOS interns (12 or 16 weeks) who are excited to be part of our story and help us build a diverse and vibrant tech community.