- Cardinal Health (San Juan, PR)
- …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process… more
- CVS Health (Virginia Beach, VA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating… more
- Graybar (Chesterfield, MO)
- Become part of the excitement. As the Manager , Health and Welfare Plan Administration, you will manage the operational requirements of the relevant benefits ... (SPDs, SARs), and ensure plans follow governmental requirements for claims and appeals ( FAS 106, FAS 125, HIPPA,...+ Research and analyze legislative and regulatory matters for health and welfare benefit plans. + Develop strategic reporting… more
- CVS Health (Richardson, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...every day. **Position Summary:** As part of the dynamic Claims Adjudication Development Engineering team, you will be expected… more
- PruittHealth (Myrtle Beach, SC)
- **Business Office Manager ** **- Home Health Services** Home is where the heart is! That's why PruittHealth @ Home is committed to caring for our patients and ... for assisting the Administrator with administrative functions of the home health agency and supervising clerical office staff. **KEY RESPONSIBILITIES:** * Evaluate… more
- Kestra Financial (Deerfield, IL)
- …and even health insurance benefits. DUTIES AND RESPONSIBILITIES + Health Insurance administration and claims processing. + Basic administrative functions ... portal + Taking on additional new responsibilities as assigned by department manager . Requirements + Advanced computer skills (Outlook, Word, Excel and Power Point)… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation ... services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager . Primary Responsibilities +… more
- UNC Health Care (Kinston, NC)
- …inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The DME Billing ... Manager oversees the day-to-day operations of Down East Medical...accounts receivable management and follow up, charge entry, EDI/claim submission/ claims rejections, and external collection activities. Provides department updates… more
- CVS Health (Richardson, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and every day. **Job Description** The Sr. Development Engineering Manager is responsible for managing the technical needs across… more
- Sutter Health (Auburn, CA)
- We are so glad you are interested in joining Sutter Health ! **Organization:** SMCS-Valley Administration **Position Overview:** Responsible for Care Coordination and ... This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure...this role are to include the achievement of optimal health , access to care, and appropriate utilization of resources… more