- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Prime Therapeutics (Oklahoma City, OK)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Huron Consulting Group (Chicago, IL)
- …member of Huron's Research Office Team. As a Clinical Research Administrative Specialist II, you'll assist Huron's Research Office team in developing coverage ... You will also assist in review and feedback for Clinical Research Administrative Specialist I projects and will begin to support client contacts for client specific… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health is Seeking a Malignant Hematology Specialist with Cellular Therapy Interest in Morristown, New Jersey Atlantic Health, one of New Jersey's largest ... non-profit healthcare networks, is seeking a malignant hematology specialist with a strong interest in cellular therapy to...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Project Renewal, Inc. (Bronx, NY)
- Title: Entitlement Specialist Program: Ana's Place Salary Range: $35,000/yr Program Description: Ana's Place is a 108 bed 24/7 emergency shelter for homeless men ... nurse. Essential Duties and Responsibilities: The essential duties of the Entitlement Specialist include, but are not limited to, the following activities: + Regular… more
- Molina Healthcare (Omaha, NE)
- …claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1… more
- Molina Healthcare (Kenosha, WI)
- …claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive… more
- New York State Civil Service (Staten Island, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more
- New York State Civil Service (Tupper Lake, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more
- New York State Civil Service (Binghamton, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... People With Developmental Disabilities, Office for Title Adaptive Equipment Specialist Occupational Category Other Professional Careers Salary Grade 14 Bargaining… more