- AmeriHealth Caritas (Raleigh, NC)
- …+ Oversee contracting efforts across all provider types-hospitals, physicians, specialists , ancillary providers, federally qualified health centers (FQHCs), ... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us… more
- Modernizing Medicine (Boca Raton, FL)
- …2024 Black Book Awards, ranked #1 EHR in 11 Specialties + 2024 Spring Digital Health Awards, "Web-based Digital Health " category for EMA Health Records ... Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are...Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US. ModMed… more
- Molina Healthcare (Seattle, WA)
- …and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …phone, email, and chatter. A primary focus in supervising the Customer Order Specialists (COSs), is ensuring customer service is at the forefront of everything they ... activities. This role regularly communicates with field sales personnel, patients, health care providers, health Insurance (payor) representatives and referral… more
- Humana (Sacramento, CA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Columbus, OH)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with… more
- Humana (Annapolis, MD)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management **Use your skills to make an impact**… more
- Humana (Salem, OR)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management. **Use your skills to make an impact**… more
- BlueCross BlueShield of North Carolina (NC)
- …Our work as technology specialists pushes the boundaries of what's possible in health care. You will help build solutions that make a real difference in people's ... We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better for all. If you're ready to make a career out of making… more
- University of Michigan (Ann Arbor, MI)
- …Unit at Mott Hospital. **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient ... to society. **Why Join Michigan Medicine?** Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking… more