- 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 ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- Centene Corporation (Columbus, OH)
- …in healthcare related field or equivalent experience required. 5+ years of provider services experience required, including experience in a managed health care ... reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as… more
- BrightSpring Health Services (Englewood, CO)
- … service thousands of patients nationwide through our growing network of branches and healthcare professionals. TheRefund/Dispute Specialistis responsible for ... of Specialty Infusion servicesfocused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most… more
- Hartford HealthCare (Middletown, CT)
- …relationships with patients, acting as a mentor. As someone who successfully managed their own recovery, the Recovery Support Specialist provides patients ... We invite you to become part of Connecticut's most comprehensive healthcare network . Rushford Center, one of Connecticut's leading providers of addiction and mental… more
- New York State Civil Service (Albany, NY)
- …State employees must have one year of permanent competitive or 55-b/55-c service as an Information Technology Specialist 2 (Programming). COMPETITIVE MINIMUM ... Albany Street Address Office of Performance Improvement and Management Services Information Technology Services Office City Albany...must have one year of permanent competitive or 55b/c service as an Information Technology Specialist 3… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career Area: Health ... Services About Blue Cross and Blue Shield of Minnesota...Management! Utilizing key principles of case management, the RN Specialist will research and analyze the member's health needs… more
- Boehringer Ingelheim (Mcallen, TX)
- …Harlingen, Brownsville, and South Padre Island in Texas.** The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net ... and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... and provider databases. Responsible for contracting/re-contracting of standard deals, maintaining network adequacy, issue escalations and JOCs on exception. Able to… more
- BayCare Health System (Clearwater, FL)
- … care industry. **Equal Opportunity Employer Veterans/Disabled** **Position** Customer Service Center Specialist **Location** Clearwater:BayCare Sys Office West ... Team Member who is passionate about providing outstanding customer service to our community. We are looking for an...determining the needs of the customer and cross-marketing other services across the health care system. + Applies comprehensive… more
- Sea Mar Community Health Centers (White Center, WA)
- …to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos ... sexual orientation, and regardless of ability to pay for services . Sea Mar's network of services...a mandatory COVID-19 and flu vaccine organization Referral Tracking Specialist - Posting #26966 Hourly Rate: $20.00 Position Summary:… more