- Avera (Sioux Falls, SD)
- …& specialty care providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records for identified ... Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality...RA gaps. + Identifies opportunities for synergies related to medical record review and manages the medical … more
- Southland Industries (Garden Grove, CA)
- **Position Summary** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an emphasis ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing… more
- Centene Corporation (Tallahassee, FL)
- … medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed care, Medicare or ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- Option Care Health (Tukwila, WA)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- TricorBraun (St. Louis, MO)
- …** **Make our HR team your best move ever** We're looking for a Benefits Specialist to support our HR team, responsible for supporting the areas of all Global ... efficient and cost-effective manner based on established plan guidelines. As the Benefits Specialist , you'll play an integral part in leading various HR projects to… more
- 32BJ Benefit Funds (New York, NY)
- …To 54964.76 (USD) Annually Job Title: Member Services Representative (Benefits Specialist ) Extended Hours * *Differential Pay Added for Working Extended Hours** ... District in Manhattan (NYC) + Comprehensive Health Package including medical , dental & vision coverage with no employee contribution...Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $21.00 Hourly Job Category Pharmaceutical ... Description JOB SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This role is… more
- ICL (Gallipolis Ferry, WV)
- …and development of corrective and preventive actions. + Administer workers' compensation claims , return-to-work, and medical surveillance programs. + Serve as ... Environmental, Health, Safety & Security (EHSS) Specialist Date: Nov 12, 2025 Posting End Date:...include: + Competitive base pay and performance bonus + Medical , dental, vision, and life benefits that start quickly… more
- WSP USA (New York, NY)
- …WSP is currently initiating a search for a **Construction Manager / Signal Specialist ** to join our Transit & Rail Team. The selected candidate will support ... requirements, and operational standards. The Construction Manager / Signal Specialist will lead multidisciplinary coordination among design teams, contractors, and… more