- Alignment Healthcare LLC (San Diego, CA)
- …(San Diego County) page is loaded## Director, Network Management (San Diego County) remote type: Hybrid Remotelocations: San Diego, CAtime type: Full timeposted on: ... Benefit Orientation, AVA (Alignment Virtual Application). Types of providers: PCP, Specialist , SNFs, ASCs, Home-Health, DMEs (all ancillary providers).* Train and… more
- Gilead Sciences, Inc. (Austin, TX)
- …purpose of this role is to serve as a field-based, product access specialist that partners with provider organizations to optimize patient access to Gilead Oncology ... appropriate reimbursement support to HCPs and office staff. The position is a remote /field-based role that covers the West Region. Candidate must reside within 10… more
- Molina Healthcare (Oshkosh, WI)
- **JOB DESCRIPTION** Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. **Job Summary** Responsible for increasing ... membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved market areas to achieve… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date.… more
- Providence (MT)
- …the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding ... and billing regulations and accurately represents services provided. The Senior CDM Specialist acts as the liaison between the Hospital ministry and the PSJH System… more
- Guidehouse (Minneapolis, MN)
- …**Travel Required** **:** None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the direction of the Director ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position include: + Responsible… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding,… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist ( Remote ) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy… more
- Molina Healthcare (Omaha, NE)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- BrightSpring Health Services (Englewood, CO)
- …Inc. is a leading provider in home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the ... top home infusion providers in the country. The Billing Specialist will report to the Billing Manager and work...discussions. Schedule: 40 hours per week - Hybrid or Remote We Offer: * Medical, Dental & Vision Benefits… more
