- Actalent (Orlando, FL)
- Job Title: Remote Pharmacy Technician - Prior Authorization Specialist Job Description We are seeking a dedicated Pharmacy Technician - Prior Authorization ... Specialist to join our team. This role involves managing...Microsoft applications. + Managed care knowledge. + Familiarity with Medicare /Medicaid. + Experience with remote work setups.… 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
- Molina Healthcare (Los Angeles, CA)
- …ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... Work hours: Monday - Friday 8:00am - 5:00pm PST Remote position based in CA CA LVN licensure required...* Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee… more
- Molina Healthcare (Long Beach, CA)
- …ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... be discussed during our interview process. CA located - Remote position Work hours: Monday - Friday 8:00am -...* Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee… more
- Molina Healthcare (Salt Lake City, UT)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
- Molina Healthcare (TX)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... is highly preferred. Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential Job Duties** + Coordinates, conducts and documents pre-delegation and… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote ** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... the following Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered… more
- Molina Healthcare (Sterling Heights, MI)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are… more
- MetroLink (Los Angeles, CA)
- …Annually Location California 90017, CA Job Type At Will Full Time Remote Employment Flexible/Hybrid Job Number 23-2400201 Department Finance Division Finance Opening ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- MetroLink (Los Angeles, CA)
- …Annually Location California 90017, CA Job Type At Will Full Time Remote Employment Flexible/Hybrid Job Number 23-2400199 Department Contracts & Procurement Division ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...exceeding $50,000 are added to your Federal, State and Medicare taxable earnings for W-2 reporting as required by… more