- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding,… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist ( Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy… more
- Molina Healthcare (Las Vegas, NV)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- CareFirst (Baltimore, MD)
- …Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for ... clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, contracts, mandates, medical policy, evidence… more
- Aveanna Healthcare (Chandler, AZ)
- Medical Insurance Collections Specialist ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 209124 Location: Chandler, AZ 85286 Category: Medical ... Accountability, Trust, Innovation, Compliance, and Fun. Position Overview The Collections Specialist is responsible for following up with invoices that have been… 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
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...+ Medical coding training and experience + Familiar with Medicare /Medicaid laws and billing + Certified Ambulance Coder helpful… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- UPMC (Pittsburgh, PA)
- …Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a work-from-home position ... clinical management of the designated line of business (Commercial, Exchange, Medicare , Medicaid, Exchange, and/or CHIP) from a pharmacy formulary and operational… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community...or Healthcare Administration + 1 year of experience in Medicare and in Medicaid managed care + Certified Professional… more