- Centene Corporation (Jefferson City, MO)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- BayCare Health System (Tampa, FL)
- …largest employers within the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia, South Carolina, or ... Monday - Friday The **Inpatient** **Coding Auditor** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding… more
- Reno Orthopedic Center (Reno, NV)
- …enthusiastic and dedicated team member to answer inbound calls regarding billing and insurance claims at our Main location - 555 N. Arlington Ave. Please note: This ... is an onsite position. It is not remote . Who are we? At Reno Orthopedic Center (ROC),...member's voice matters. We offer a fully integrated musculoskeletal health campus with on-site surgery, advanced imaging, therapy, urgent… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …+ **Team Management** : Lead a high-performing team of operational specialists , including webinar production, medical writing, and customer service engagement ... specialists . + **Data-Driven Insights** : Utilize data analytics and...thinker with a results-oriented mindset. + Experience working in remote or hybrid teams is a plus **Competencies** **Accountability… more
- Zelis (St. Petersburg, FL)
- …consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers ... who you are. Position Overview The Medical Bill Navigator, Health Bill Assist will be responsible for delivering high-touch,...financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of… more
- Abbott (Livermore, CA)
- …large enterprise. + Prior experience with SOX, PCI, and HIPAA compliance + **Insurance claims / Health Care Industry experience** **Misc: This role is based at our ... career you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year + An excellent… more
- Commonwealth Care Alliance (Boston, MA)
- …Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health , community-based, LTSS, and HCBS providers. This individual serves as ... relationships with providers across all specialties -, physician, hospital, behavioral health , community based, and ancillary providers and their staff. + Serve… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In its evolved customer engagement model, a Neuroscience Specialist engages… more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of ... benefits; eg Nurse Line, Employee Assistance Program, or other specialists with in BCBS Health Management Division....of Work Remote Requisition ID 2934 Job Type Full Time Job Benefits Health Insurance Application Link… more