- Covenant Health Inc. (Sevierville, TN)
- Overview Regulatory Specialist , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of ... The Joint Commission, CMS, and other regulatory/licensing agencies. The Regulatory Specialist is responsible for maintaining current knowledge of all applicable… more
- Covenant Health Inc. (Morristown, TN)
- Overview Regulatory Specialist , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Some local travel required.Some weekend,holiday or night coverage ... The Joint Commission, CMS, and other regulatory/licensing agencies. The Regulatory Specialist is responsible for maintaining current knowledge of all applicable… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function is to learn the specialty level appeals and… more
- 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
- New York State Civil Service (Tupper Lake, NY)
- …Agency People With Developmental Disabilities, Office for Title Trades Specialist (Mason & Plasterer) Occupational Category Skilled Craft, Apprenticeship, ... codes, diagrams, architectural blueprints and specifications.* Basic computer skills preferred * Valid NYS driver's License.* Other duties as assigned.#LI-AK1#LI-NB1LinkedIn:… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... degree or higher from an accredited school of Nursing + Master's degree preferred **WORK EXPERIENCE** + Five years of hospital clinical nursing experience, which… more
- HCA Healthcare (Miramar, FL)
- …individual is recognized. Submit your application for the opportunity below:Collections Specialist at the East Florida CBO with HCA Surgery Ventures **Benefits** ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- CVS Health (Harrisburg, PA)
- …** Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members + Experience working with individuals with SDoH ... Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the...to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** Familiarity… more
- Actalent (Little Ferry, NJ)
- …and data entry skills. + Insurance knowledge. + Bilingual in Spanish/English preferred . + Prior insurance verification experience with Medicare , Medicaid, and ... Job Title: Insurance Verification Specialist Job Description We are seeking a detail-oriented...to navigate NJ HMO websites, commercial insurance portals, and Medicare systems. + Contact insurance providers to verify benefits… more
- Aston Carter (Menasha, WI)
- Data Entry Specialist Job Description We are seeking a detail-oriented and adaptable Data Entry Specialist to support the Family Saving Plan (FSP) open ... enrollment and Medicare data entry operations. This temporary position plays a...+ Prior experience in health insurance or enrollment processing preferred . + Associate Degree or equivalent experience preferred… more