- Centene Corporation (Atlanta, GA)
- …workplace flexibility. **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical ... or quality improvement Complex project management experience Preferred **Experience with Medicare and/or NCQA preferred:** Pay Range: $68,700.00 - $123,700.00 per… more
- Centene Corporation (Honolulu, HI)
- …Oahu and surrounding islands.** **Position Purpose:** The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals ... employment) - If required by the Business Unit/Department **For Medicare only:** Travel up to 80% Must be willing...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Humana (Gainesville, FL)
- …community and help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative 3) Travels to provider offices within the region ... be able to research your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- TEKsystems (Dallas, TX)
- …and submit enrollment and re-enrollment applications for healthcare providers to Medicare , Medicaid, and commercial insurance plans. Maintain accurate and up-to-date ... provider enrollment, credentialing, or healthcare administration. Strong understanding of Medicare , Medicaid, and commercial insurance enrollment processes. Excellent organizational,… more
- Centene Corporation (Harrisburg, PA)
- …benefits including a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE /WORK FROM HOME WITH 50% TRAVEL WITHIN THE PHILADELPHIA, DELAWARE, CHESTER, ... 5 COUNTIES LISTED.** **THIS ROLE WILL BE HELPING COORDINATE MEDICAID/ MEDICARE MEMBERS LTSS FROM NURSING FACILITIES BACK INTO THE...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Tallahassee, FL)
- …a healthcare organization, and medical claims. Knowledge of health care, managed care, Medicare or Medicaid.Pay Range: $22.79 - $38.84 per hour Centene offers a ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Centene Corporation (Indianapolis, IN)
- …regarding provider enrollment specifications and demographic changes + Update delegated provider Medicare and Medicaid documents on a monthly and ad hoc basis and ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE At Polaris Pharmacy Services, we're ... Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services...you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio… more
- Molina Healthcare (Ann Arbor, MI)
- …oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School ... regulations pertaining to health insurance, investigations & legal processes (Commercial insurance, Medicare , Medicare Advantage, Medicare Part D, Medicaid,… more
- Evolent (Helena, MT)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more