- CommonSpirit Health (Steubenville, OH)
- …days off), Professional Dues, and Certification Reimbursement + Malpractice and Tail Insurance (Modified Claims Made) + Full Benefits Eligibility with ... Summary and Responsibilities** Join a dynamic team with Trinity Health System and make a difference in a thriving...and make a difference in a thriving community! **Trinity Health System** , a part of the CommonSpirit Family,… more
- Elevance Health (Norfolk, VA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Woodbridge, NJ)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... project lead. + Uses analytic tools to track both health risks and compliance, as well as supporting the...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Elevance Health (Toledo, OH)
- …to client needs, and direct, hands-on engagement. The **MyCare Ohio** health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered ... coordination for all members that addresses physical health , behavioral health , long term services and...plans. May also assist in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- East Boston Neighborhood Health Center (East Boston, MA)
- Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the ... greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether...the required steps to ensure the generation of clean claims - completing documentation, submitting encounters on time, and… more
- Elevance Health (Cincinnati, OH)
- …The **Business Architect Sr. - Provider Systems** will be part of Elevance Health 's National Operations Command Center (NOCC) which is responsible for E2E monitoring ... Provider selection logic; Provider setup configuration and roster loading/automation, claims system knowledge; external claim(EX) reviews/fixes; provider data updating… more
- Elevance Health (Roanoke, VA)
- …by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... with ICD-9/10CM, MS-DRG and APR-DRG. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing… more
- Elevance Health (Indianapolis, IN)
- …The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The **Provider Contract Cost of Care Consult Senior / VBC** is ... will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing...to management. + Uses analytic tools to: track both health risks and compliance, as well as supporting the… more
- McLaren Health Care (Indianapolis, IN)
- …Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ ... Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of...TPA, PHO and Managed Care functions including understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes,… more