• Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, TX)
    …regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
    Molina Healthcare (11/07/25)
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  • Medical Billing Specialist

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …for services. **Travel** : Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to ... for all facilities. + Provide timely reporting, feedback, and information to support the business operation and medical billing functions as necessary + Provide… more
    KPH Healthcare Services, Inc. (10/08/25)
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  • Biomedical Equipment Support

    Veterans Affairs, Veterans Health Administration (Portland, ME)
    Summary The Biomedical Equipment Support Specialist position is in the Healthcare Technology Management (HTM) department at the VA Maine Healthcare ... For more information, refer to Required Documents below." Responsibilities The Biomedical Equipment Support Specialist position works in support of the… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Biomedical Equipment Support

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary The Biomedical Equipment Support Specialist (BESS) (Information Systems) provides clinical and administrative support to staff, patients, and ... must be met when determining the grade of candidates: Biomedical Equipment Support Specialist (Information Systems), GS-12Experience: At least one year of… more
    Veterans Affairs, Veterans Health Administration (11/22/25)
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  • Senior IRIS Operations Specialist (Must…

    Molina Healthcare (Green Bay, WI)
    JOB DESCRIPTION Job Summary Provides senior level administrative support for Wisconsin IRIS program operations, including referrals, enrollment, eligibility, service ... and cost-effective care. Essential Job Duties * Provides senior level support to operations and field staff completing participant referrals, enrollments,… more
    Molina Healthcare (11/27/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (San Antonio, TX)
    JOB DESCRIPTION Job Summary Provides support for CA Medi-Cal and Marketplace benefits and services including reviewing and resolving member appeals and complaints, ... regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Kenosha, WI)
    JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . *… more
    Molina Healthcare (11/21/25)
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  • Associate Specialist , Appeals & Grievances

    Molina Healthcare (Rio Rancho, NM)
    JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and… more
    Molina Healthcare (11/21/25)
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  • Temporary GME Software Support

    University of Colorado (Aurora, CO)
    **Temporary GME Software Support Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department:** **Office of Medical Education | ... Graduate Medical Education** **Job Title: Temporary** **GME Software Support Specialist ** **This is a Temporary position limited to no more than 9-months** **Job… more
    University of Colorado (11/06/25)
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  • IT Systems Specialist

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …and judgment to plan and accomplish assigned tasks and goals **Job Summary:** Provide support to all divisions of the Kph organization through the configuration and ... support of employee facing hardware and software technologies. This...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more
    KPH Healthcare Services, Inc. (09/17/25)
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