- Mass Markets (Wichita, KS)
- …in the industry. Our team is looking for an experienced human resource specialist to support internal HR functions with a special focus on recruitment activities. ... you will work with the Talent Acquisition team and operations to coordinate recruiting and hiring functions while providing...styles. + 2+ years of experience as an HR Specialist or recruiting positions + Some Undergraduate level education… more
- Integra Partners (Troy, MI)
- …compliance, regulatory affairs, and/or utilization management within a health plan or managed care environment + Demonstrated expertise in CMS and state ... The Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting...Medicaid portals, NCQA updates, etc.) to track changes impacting operations + Begin delivering compliance summaries and recommendations to… more
- Apex Health Solutions (Houston, TX)
- …skills Working knowledge of PBM system or experience working in a health plan or managed care setting. Must be a team player. Competencies: To perform the job ... Position Summary: The Pharmacy services Specialist will assist the Clinical Services staff (pharmacists...staff (pharmacists and technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage… more
- Adelante (Phoenix, AZ)
- …and communications can be considered in place of formal degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + ... WIC Quality Assurance Specialist Job Details Job Location Adelante Healthcare Center...will work closely with WIC training Coordinator and WIC operations to implement process improvement and monitor process improvement… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... are built at Banner Health. There's more to health care than doctors and nurses. We support all staff...could be the perfect opportunity for you. This Credentialing Specialist role is remote with a preference for candidates… more
- Elevance Health (Washington, DC)
- …equivalent background. **Preferred Skills, Capabilities & Experiences:** + Understanding of managed care or Medicaid/Medicare strongly preferred. For candidates ... **Medical Management Specialist I** **Location:** Washington, DC. This role requires...for providing non-clinical support to the Medical Management and/or Operations areas. **How you will make an impact:** +… more
- Virtual Service Operations (Arlington, VA)
- Cyber Security Specialist I * Arlington, VA (http://maps.google.com/maps?q=Arlington+VA+USA) Description Are you looking to take the next steps in your career as a ... Cyber Security Specialist I? Let's chat and see if we are...if we are a good match! Opportunity: Virtual Service Operations is actively seeking a talented individual with an… more
- MSC Industrial Supply Co. (Fort Pierce, FL)
- **Sr. In-Plant Solutions Specialist --Fort Pierce, FL** **Requisition ID:** 18889 **Employment Type:** Full Time **Job Category:** Sales **Work Location:** Fort ... are a leading North American distributor of metalworking and maintenance, repair, and operations (MRO), products and services. We offer more than 2 million products… more
- Elevance Health (Durham, NC)
- …equivalent background. **Preferred Skills, Capabilities and Experiences:** + Understanding of managed care or Medicaid/Medicare strongly preferred. _For URAC ... **Medical Management Specialist I** **Virtual:** This role enables associates to...for providing non-clinical support to the Medical Management and/or Operations areas. **How you will make an impact:** Primary… more
- BrightSpring Health Services (Nashville, TN)
- …and act as the critical liaison between referral sources and our sales and operations teams. The Senior E-Referral Specialist will train, schedule, and mentor ... Adoration Home Health and Hospice Overview The Senior E-Referral Specialist will serve as team lead responsible for the...and management duties. . Patient information and forms are managed and forwarded to the appropriate department per procedure.… more