- Prime Therapeutics (Hartford, CT)
- …agreements. + Invoicing practices, including pre-invoicing review for fee for service, managed care , diabetic supply and supplemental rebate programs. + Assists ... and drives every decision we make. **Job Posting Title** Pharmacy Rebate Specialist , Government Remote **Job Description** This position is responsible for status… more
- Queen's Health System (Honolulu, HI)
- …Knowledge of billing regulations, PATH guidelines, insurance coverage limitations and managed care protocols preferred. 5. Experience providing one-on-one ... commitment. I. JOB SUMMARY/RESPONSIBILITIES Performs review of physician and other health care provider services by QMC and QEC providers to ensure services are… more
- Ochsner Health (New Orleans, LA)
- …executive leadership team. Additionally, this job coordinates physician quality information and managed care audits and manages documentation and maintenance of ... medical staff office experience **Certifications** Preferred- Certified Provider Credentialing Specialist and/or Certified Professional Medical Services Management certification **Job… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- Summary This position serves as a Supervisory Inventory Management Specialist for non-expendable (NX) assets/materials for the Logistics Service within the VA Health ... Care System supervising multiple supply or material classes/series and recognized as the Material Management Division's subject matter expert serving as an advisor… more
- Humana (Miami, FL)
- …In a Hospital, Healthcare and/or Medical Office setting + Knowledge and experience in managed care + Medical terminology + Experience in EMR (Electronic Medical ... help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within...and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana,… more
- Tractor Supply Company (Brentwood, TN)
- Sr. Specialist , Store Services **Overall Job Summary** This position will manage select national Store service programs for both TSC and Petsense locations including ... and customer needs. (10) + P&L responsibility of all managed vendor programs. (5) + Management and execution of...and eligible part-time TSC and Petsense Team Members. We care about what you care about! Learn… more
- MetroHealth (Cleveland, OH)
- …clinical or healthcare setting. Experience with and/or a strong understanding of managed care information systems. Knowledge of third-party payer information ... **Utilization Review Specialist -Utilization Management** **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **10a-6:30p** **The… more
- Corewell Health (Grand Rapids, MI)
- …+ Bachelor's Degree + 5 years of relevant experience in health plan, managed care or healthcare delivery, administration or clinical practice management. ... BSN. + Certified Professional Coder CPC or Certified Coding Specialist CCS + Project Management Professional PMP certification +...will play an essential role in delivering personalized health care to our patients, members and our communities. We… more
- CDPHP (Latham, NY)
- …related discipline required. + Utilization management experience is preferred. + Knowledge of managed care , health plan benefits, and be able to carefully assess ... invites you to be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff within Member Health. The CSS… more
- Molina Healthcare (Kenosha, WI)
- …a high level of customer service. Previous experience in Medicare, Medicaid, and/or Managed Care is very helpful. Top notch communication skills, both written ... 2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or… more