- Mass Markets (Killeen, TX)
- …industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (Las Cruces, NM)
- …and a brief pre-employment test. POSITION RESPONSIBILITIES As a Talent Acquisition Specialist , you are responsible for the entire recruitment life-cycle. You will ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (TN)
- …project delivery. Partner with marketing, product, and operations teams to deliver contract -winning solutions. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT ... BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market… more
- Centene Corporation (Frankfort, KY)
- …processing, billing and/or coding experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a ... deletes and updates to key provider groups and model contract + Research and identify any processing inaccuracies in...healthcare organization, and medical claims. Knowledge of health care , managed care , Medicare or… more
- Robert Half Accountemps (Dallas, TX)
- …* Must be computer literate. * Must possess knowledge and understanding of managed care and insurance practices. Education and Experience: * High School ... balances prior to patient collection attempts. * Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of… more
- Emanate Health (Covina, CA)
- …preferred. Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities. ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations. Strong analytical skills, proficient with spreadsheets. **Minimum… more
- Centene Corporation (Jefferson City, MO)
- …required. Master's Degree preferred. Juris Doctor (JD) preferred. + 4+ years Managed Care /Health Insurance and knowledge of relevant legal and regulatory ... with internal teams and external vendors or subcontractors to promote contract compliance and uphold program integrity through structured oversight and monitoring… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... inquiries, denials, correspondence & telephone inquires. 4. Maintains all reports ( contract management) files and records as needed; ie, medical records, referrals,… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... inquiries, denials, correspondence & telephone inquires. 4. Maintains all reports ( contract management) files and records as needed; ie, medical records, referrals,… more
- Aegon Asset Management (Denver, CO)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... in the implementation of Transamerica, Exchange Traded Funds (ETF) and separately managed account (SMA) fund-related initiatives. + Lead the oversight of trade… more