- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... DMHC, and DHCS. Duties and Responsibilities: + Ensures all services provided to Commercial, Medicare and Medi-cal managed...and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed… more
- Sharp Electronics Corporation (Downers Grove, IL)
- …portfolio of multifunctional printers, to a proven suite of advanced workflow and managed IT services . **Compensation for this position** The compensation range ... **Overview** The MITS Sales Specialist is a specialized sales professional, entirely focused...sales professional, entirely focused on Sharp Business Systems' IT Services and Software Solutions offering in the SMB (small,… more
- NTT America, Inc. (Lansing, MI)
- …can grow, belong and thrive. **Your day at NTT DATA** The Principal Cloud Managed Services Engineer is a highly skilled engineering role, responsible for ... creating and maintaining the Cloud-based Infrastructure of managed service to clients. This role is...matter expert with extensive expertise in cloud technologies and managed services , this role acts as a… more
- Molina Healthcare (GA)
- …and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Generates… more
- System One (Monroe Township, NJ)
- System One is seeking an IT Field Network Specialist to serve as the primary internal IT lead for a full-time permanent opportunity in the New Brunswick, NJ ... will act as the interface between our company and our outsourced Managed Service Provider (MSP), ensuring smooth operations, accountability, and forward… more
- Pacific Medical Centers (Renton, WA)
- …**Requsition ID:** 388692 **Company:** Pacific Medical Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job Schedule:** Full ... **Description** Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network , for… more
- Molina Healthcare (Reno, NV)
- …experience + Experience in one or more of the following: Claims, Provider Services , Provider Network Operations, Hospital or Physician Billing, or similar. + ... Work hours for this role will be 8am-5pm PST. **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance… more
- Centene Corporation (Frankfort, KY)
- …processing, billing and/or coding experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a ... reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... and other requested denials as deemed clinically appropriate. + Investigates managed care and commercial insurance rejections, denials for possible experimental … more
- Kelly Services (Santa Clara, CA)
- **Contract Specialist ** Kelly Services is currently seeking a Contract Specialist for one of our top clients in Santa Clara, CA. + We're seeking a ... detail-oriented and proactive Contract Specialist to support contract negotiations, supplier onboarding, and ongoing...appropriately structured, negotiated, and executed across a range of services - from warehousing to SaaS agreements. + The… more
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