- DATAMAXIS (Springfield, IL)
- …eligibility, provider enrollment, third-party liability. * Understanding of fee-for-service, managed care claim/encounter adjudication processes from enrollment ... supporting decision making for large Medicaid data warehouse implementation and operations . * With the specialized knowledge of the Medicaid and Children's… more
- Intermountain Health (Murray, UT)
- …for the assigned department, facility, or clinical program, ensuring seamless operations and availability of necessary supplies. Schedule: Sunday - Thursday Hours: ... ensuring distribution, inventory, receiving, departmental files, and reports are managed in accordance with Auditing, Accounting, and other regulatory agencies.… more
- Intermountain Health (Billings, MT)
- …for the assigned department, facility, or clinical program, ensuring smooth operations and availability of necessary supplies. Schedule: Saturday - Tuesday Hours: ... to ensure distribution, inventory, receiving, departmental files, and reports are managed in accordance with auditing, accounting, and other regulatory agencies. +… more
- Trinity Health (Livonia, MI)
- …Ancillary, Nursing, Patient Business Service (PBS) center, Information Services, Compliance & Managed Care department staffs. Audits Charge Master for each ... billing. Working knowledge of third-party payer rules & requirements, computer operations & electronic interfaces related to charge documentation, capture & billing… more
- Highmark Health (Pittsburgh, PA)
- …LPC, or other related clinical license + 3-5 years' experience in case management/ managed care with specific knowledge of quality monitoring, compliance and/or ... to: policy and procedure development and revision, individual staff audits, overall operations to ensure compliance to standards and regulations. + Develops and… more
- Molina Healthcare (Mesa, AZ)
- …diploma or equivalent **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrating strong: communication and ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
- Centene Corporation (Columbus, OH)
- …5+ years of provider services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing ... benefits interpretation, and internal operations of provider relations.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package… more
- RTX Corporation (Mckinney, TX)
- …a security clearance **Security Clearance:** DoD Clearance: Secret **Raytheon Company, Managed by Collins Aerospace** We are currently seeking an experienced ... and Autonomy) organization, including Program Management, Engineering, Finance, Contracts and Operations and is therefore an excellent position for an individual who… more
- Mass Markets (IA)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Centene Corporation (Olympia, WA)
- …regulatory experience. Advanced experience with Microsoft Office applications. Knowledge of business operations related to managed care preferred. Pay Range: ... $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote,… more