- Select Medical (West Orange, NJ)
- …- West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
- Trinity Health (Ypsilanti, MI)
- **Employment Type:** Full time **Shift:** **Description:** The focus of the Accounting Specialist is to guide and support compliant clinical research billing and ... subsequently review clinical study protocol, budget and consent form to prepare a Medicare coverage analysis. + Prepare submissions to the Medicare fiscal… more
- ChenMed (Miami, FL)
- …other related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Medicare and Medicare Advantage programs preferred . + Proficiency with ... people to join our team. The Sales Call Center Specialist will engage with potential members through phone contact,...+ Successful experience in a service industry is strongly preferred . + Successful customer care sales experience is a… more
- Molina Healthcare (East Moline, IL)
- …Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Sr Specialist ** in/near the Rockford or East Moline area **.** This role will help ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
- LA Care Health Plan (Los Angeles, CA)
- Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center-Metro LA Location: Los Angeles, CA, US, 90006 Position ... to achieve that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community,… more
- LA Care Health Plan (Los Angeles, CA)
- …Enrollment) in a healthcare environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred : Tableau experience. ... Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC...(DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National… more
- University of Kansas (Lawrence, KS)
- **31525BR** **Job Title:** Assistive Technology Specialist **Department:** Bureau of Child Research **Primary Campus:** University of Kansas Lawrence Campus **Job ... Assistive Technology for Kansans (ATK) projects in collaboration with the grant specialist . + Maintain general office supplies and manage project - specific orders… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The position ... will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient resource… more
- Gentiva (St. Louis, MO)
- …ensures compassionate care reaches every patient, every day. As an Executive Director Specialist - RN, you'll serve as the operational and clinical leader in our ... all federal, state, and organizational standards. **What You'll Do as Executive Director Specialist - RN:** + Serve as the Administrator on record at assigned… more
- Molina Healthcare (Buffalo, NY)
- …For This Position Must Reside In/Near the Upstate New York Area- Rochester preferred Are you passionate about serving others? Do you have established relationships ... must live in or near Upstate New York Area- Rochester preferred **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for achieving established goals improving Molina's… more