Clinical Analyst Salary at Usmd Hospital BETA

JOB DESCRIPTION Job Summary Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. Must have an active CA license. KNOWLEDGE/SKILLS/ABILITIES The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited to: Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. Distributes audit results letters, follow up letters, audit tools, and annual reporting requi

Job Description Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities. Best People, Best Solutions, Best Results Job Summary: Mid-level professional performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed. As a member of an investigative team, may act as a facilitator as well as a case manager regarding assessment for potential overpayme

Position Summary: We are seeking an experienced and passionate BCBA Clinical Director to lead our clinical team and center. The Clinical Director will be responsible for overseeing the development and implementation of ABA programs, ensuring the highest quality of care, and managing the clinical team’s performance. This role requires a strong leader with a deep understanding of ABA principles and a commitment to improving the lives of children and their families. Key Responsibilities: Clinical Leadership: Oversee the design, implementation, and supervision of individualized ABA programs for children with ASD. Ensure that all treatment plans are evidence-based and align with best practices in the field of ABA. Provide ongoing clinical supervision and mentorship to BCBAs, BCaBAs, RBTs, and other clinical staff. Conduct regular client assessments and make data-driven decisions to adjust treatment plans as needed. Team Management: Lead, manage, and inspire the clinical team, fostering a co

Evolve ABA Care is seeking highly qualified individuals to join our team as a Registered Behavior Technician (RBT). In this vital role, you will be instrumental in delivering intensive behavioral intervention services to children and families, making a significant impact on their lives. Registered Behavior Technician (RBT) Benefits: Paid training $250 Sign-on Bonus Professional development assistance For students pursuing BCBA certification or currently enrolled in a master's program: Free BACB supervision hours included. Position Type/Expected Hours of Work: This is a part-time position. Working days are Monday through Friday, between 1:30 PM and 5:30 PM Pay: $18.00 - $20.00 per hour Expected Hours: 20 - 25 per week 4-hour shifts Registered Behavior Technician (RBT) Key Responsibilities: Provide direct therapy during individual sessions. Implement Applied Behavior Analysis (ABA) interventions (e.g., DTT, PECS, NET) for children with special needs in a 1:1 setting at home. Assist the s

Key Autism Services is hiring BCBAs across multiple states. (States and regions below) Are you a passionate BCBA eager to make a meaningful impact? At Key Autism Services, we offer a collaborative and supportive environment where you can thrive professionally while delivering the highest-quality ABA services to children and families. We focus on clinical excellence, manageable caseloads, flexibility and maintaining a healthy work-life balance. You'll have access to continuous professional development, peer mentorship, and the chance to work alongside a skilled, dedicated team. Whether you prefer a center-based role or community-based services, we provide the resources and flexibility to help you succeed. Join a mission-driven organization that values evidence-based practices, compassionate care, and innovation in the ABA field. If you're ready to elevate your career while making a lasting impact on children and their families, apply today! $80,000-$115,000+ inclusive of achievable bonu

Job Title: Clinical Analyst Duration of project: 6 months Location: Dallas, TX Remote (Central Time Zone) Mail : yadla.vamsi@kasmodigital.com Required Skills: •Experience with healthcare/clinical terminologies and code-sets, including SNOMED CT™, LOINC, ICD9-10, CPT4/HCPCS, RxNorm, CVX, and other code systems. •Working knowledge of relational databases/database structures; SQL experience desired. •Understanding of data collected and used in electronic medical records, and experience navigating EMRs. •Knowledge and experience with ambulatory and acute clinical workflows and clinical information systems. •Experience with detailed policies and related data/exchange standards, including the ONC Interoperability Advisory Standard, U.S. Core Data for Interoperability initiative, and ONC Certification Rules. •Experience with using/implementing HL7 standards and processes, including Clinical Document Architecture (CDA) and Fast Healthcare Interoperability Resource (FHIR). •Experience with lab

Overview: Attention BCBAs - Interested in providing Telehealth services? Join our Team and Make a Lasting Impact on Children with Autism. Apply now and start making a difference! About Us: At Behavioral Innovations, we're more than just a company; we're a family with a rich 24-year history in behavior analysis. Our leadership and guidance from our founders and expert Board-Certified Behavior Analysts (BCBAs) ensures that we always put our clients and their families first. As part of our team, you'll have the opportunity to make a tangible difference, engage in our clinical programs, and be recognized for your efforts through our Employee Recognition initiatives. Plus, with our wide reach across three states and numerous accolades, you'll be joining a recognized leader in the field. Join us and be part of a mission-driven team that transforms lives every day. At Behavioral Innovations, we're not just a company; we're a family. Our core values encompass caring, accountability, collaborat

-Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Ent Pharmacy & Willow Senior Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you'll do/Responsibilities This role will require an understanding of pharmacy operations, medication management, and the use of Epic EHR to support the medication ordering, dispensing, and administration processes. Perform the Epic product specific build/enhancements for optimizing various Pharmacy workflows through requirement gathering, solution architectural reviews, technical design, build, test and implementation that meet user requirements. Demonstrate flexibility to apply technic