- New York State Civil Service (Hauppauge, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all#LI-MF1 Minimum Qualifications OPEN COMPETITIVE : Program Operations Specialist Trainee 1, NS (equivalent to SG-14): A… more
- New York State Civil Service (Plainview, NY)
- …People With Developmental Disabilities, Office for Title Trades Specialist (Electrician) Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary ... the Armed Services; OR successful completion of the two-year Trades Specialist (Electrician) traineeship or a two-year electrician training, apprenticeship, or… more
- Oracle (San Antonio, TX)
- …**Location: San Antonio, TX. This is not a remote role.** **Customer Deal Desk Specialist III** An ideal candidate has a strong work ethic and is able to ... Proficient in Microsoft Office suite. **Responsibilities** The Customer Deal Desk Specialist III leads and manages the contracting process end-to-end for strategic,… more
- UNC Health Care (Durham, NC)
- …or equivalent combination of education and experience accepted. Working understanding of managed care and prospective payment systems and their impact on ... Under the direction of the RN Senior Patient Planning Specialist or Team Leader assists with coordination of home...Employer: NCHEALTH Entity: Shared Services Organization Unit: UNCHCS Cont Care Intake Work Type: Full Time Standard Hours Per… more
- UNC Health Care (Chapel Hill, NC)
- …Clinical Documentation Specialists (CDS) across all HCS entities that are owned or managed that have opted into shared services. This position reports to the HCS ... conditions, patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation of provider… more
- Access Dubuque (Dubuque, IA)
- …Support Representative Managed Solutions Group Technical Support Representative Managed Solutions Group INSIDE SALES-SUPPORT SPECIALIST Dyersville Commercial ... Specialist -Peer Support **Hillcrest Family Services** 1 Positions ID:...improving behavioral health outcomes, recovery engagement, and access to care for priority populations (eg, SUPRT, Hepatitis C (HCV)).… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this role. This position ... Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career...US Preferred Skills and Experience * 2+ years of managed care experience; eg case management/health coach,… more
- HCA Healthcare (Nashville, TN)
- …status. + Works to ensure that patient treatment is reimbursed by contacting managed care organizations and completing initial utilization review. Documents in ... for life - and empowers their passion for patient care . Apply today for our Assessment Specialist ...skills necessary to advocate for patients in regard to managed care organizations + Conducts utilization review… more
- Houston Methodist (Sugar Land, TX)
- …determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review...Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains… more
- Dignity Health (Bakersfield, CA)
- …for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves auditing claims, identifying ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague...processing, quality assurance, or a related role within a managed care or healthcare environment. + Strong… more