- LA Care Health Plan (Los Angeles, CA)
- …to provide 24/7 support for Production applications across LA Care's Claims /EDI, Member, Provider, Health Services, Customer Solutions Business functions. ... Manager , Technology Application Production Support and Control Job...(Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
- Western Washington University (Bellingham, WA)
- …and with diverse experiences interested in this opportunity. About the PositionThe Student Health Center (SHC) Billing & Coding Manager serves as a Coding ... Coding Manager reports to the Administrative Services Manager of the WWU Student Health Center....timely to stay in compliance with federal, state, and insurance company contracts and regulations. + Ensures compliance and… more
- Mount Sinai Health System (New York, NY)
- …operations staff, and insurance companies (both pharmacy benefit managers and health plans) to escalate and resolve claims payment discrepancies. * Analyzes ... reimbursement analysis and collection experience with Medicare, Medicaid, Pharmacy Benefit Manager and Commercial Health Plan payer experience. Pharmacy… more
- Kemper (Cerritos, CA)
- … policies and knowledge of relevant state laws and regulations governing auto insurance claims . + Time management skills ensuring deadlines are met for ... delivers on our promises. **POSITION SUMMARY:** At Kemper, a Represented Casualty Manager is responsible for the oversight of all claim processing and management… more
- Elevance Health (Grand Prairie, TX)
- …as a Case Manager is preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with ... Nurse Case Manager I **Location:** This role enables associates to...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically… more
- Elevance Health (Nashville, TN)
- …in multiple states. **Preferred Skills, Capabilities and Experiences:** + Certification as a Case Manager and a BS in a health or human services related field ... **Telephonic Nurse Manager II** **Hours: 9am-530pm EST 2-4 late evenings...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. **How you will… more
- Elevance Health (Norfolk, VA)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope… more
- Elevance Health (Chantilly, VA)
- …of Federally Qualified Health Center preferred. + Certification as a Case Manager is preferred. For candidates working in person or virtually in the below ... RN Nurse Case Manager l - Medicaid (JR152160) **Location** : This...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically… more
- System One (Lake Mary, FL)
- Contract Manager Lake Mary, FL System One is seeking a Contract Manager on a permanent basis with our client. This is a great opportunity to join an industry ... in power generation and energy storage solutions! The Contract Manager is responsible for contract management of their assigned...and long-term disability + Life, dependent life, and AD&D insurance + Job offer will be contingent on drug… more
- J&J Family of Companies (Raritan, NJ)
- …Johnson & Johnson Innovative Medicine is recruiting for a ** Manager , Observational Health Data Analytics** position in the ... preferred. + Experience with the statistical analysis and management of administrative claims datasets or electronic health /medical records. + Knowledge of… more