• Employee Benefits Account Manager- Select

    HUB International (Fort Myers, FL)
    …salaries and benefits offerings + Medical/dental/vision insurance and voluntary insurance options + Health Savings Account funding + 401k matching ... claims or coverage concerns. + Assist advisor in insurance business, quotes, and other such matters as may...Service Representatives. **What you offer us:** + Life & Health 215 license + Understand and analyze insurance more
    HUB International (09/17/25)
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  • Process Expert I

    Elevance Health (Costa Mesa, CA)
    …be based in 705 5th Avenue South Seattle, Washington 98104 or any Elevance Health Pulse Point available. _Please note that per our policy on hybrid/virtual work, ... improvement, project coordination), experience in high-volume managed care operations ( claims , customer service, enrollment and billing); or any combination of… more
    Elevance Health (09/26/25)
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  • Nurse Case Manager I

    Elevance Health (Houston, TX)
    …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically for discharge ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
    Elevance Health (09/26/25)
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  • Programmer Business Change Advisor Senior

    Elevance Health (Los Angeles, CA)
    …be considered for employment, unless an accommodation is granted as required by law. Carelon Health is a proud member of the Elevance Health family of brands, ... assessment, and operational excellence. + Knowledge of **payment integrity, provider, and claims ** domains. + Understanding of **AI technologies** , with ability to… more
    Elevance Health (09/26/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
    Highmark Health (09/26/25)
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  • Utilization Management Representative II

    Elevance Health (Latham, NY)
    …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... to $26.24/hr. Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition… more
    Elevance Health (09/25/25)
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  • Mgr II Grievance/Appeals-Medical Coding

    Elevance Health (Atlanta, GA)
    …+ Serves as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits, clinical decisions, ... and Experience:** + Certified Professional Coder-AAPC Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
    Elevance Health (09/24/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Murfreesboro, TN)
    …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 (09/24/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    …to false claims strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement ... (AOA). + Requires active unrestricted medical license to practice medicine or a health profession. + Clinical training and practice as a primary care physician… more
    Elevance Health (09/24/25)
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  • Quality/Risk Specialist II - Full Time…

    Henry Ford Health System (Detroit, MI)
    …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... of events which may injure patients, lead to malpractice claims , and cause loss to the health care system. The QRS II collaborates with multidisciplinary … more
    Henry Ford Health System (09/24/25)
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