Refine Reset All
Sort by
Employer/Recruiter
1 – 20 of 6,882 jobs
CommunityCare jobs

JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or

CommunityCare  20 days ago
CommunityCare jobs

JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or

CommunityCare  20 days ago
CommunityCare jobs

JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims. The Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling

CommunityCare  5 days ago
Scripps Health jobs

Director, HMO Claims Services - 262004305 Description This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in

Scripps Health  15 hours ago
CommunityCare jobs

Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or

CommunityCare  27 days ago
CommunityCare jobs

Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or

CommunityCare  27 days ago
CommunityCare jobs

Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or

CommunityCare  16 days ago
CommunityCare jobs

Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or

CommunityCare  14 days ago

HMO Coordinator The HMO Coordinator plays a critical role in managing and facilitating the operations of Health Maintenance Organization (HMO) plans to ensure seamless healthcare delivery to members. This position involves coordinating between healthcare providers, insurance companies, and members

Larkin Community Hospital  5 hours ago
Health Care Service Corporation jobs

# Senior Analytics Consultant - HMO & Quality Analytics - Work From HomeApplyremote type: Remotelocations: TX - Richardson: MT - Helena: NM - Albuquerque: OK - Tulsa: TN - Nashvilletime type: Full timeposted on: Posted Yesterdayjob requisition

Health Care Service Corporation  1 day ago

Job Title Responsibilities: Run the AR every 4 weeks. Make sure the claims were paid correctly. Denials must be checked, sent appeal, check authorization and eligibility. Make phone calls if the denial is not clear, have

Girling Health Care Of New York  4 hours ago
Health Care Service Corporation jobs

HCSC is seeking a Senior Analytics Consultant to leverage Tableau, SQL, Python, and R to support IL Commercial HMO and Marketplace stakeholders. This role oversees NCQA analytical support and advisory services for internal and external leaders. The

Health Care Service Corporation  1 day ago
UnitedHealth Group jobs

At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health

UnitedHealth Group  29 days ago
Urban Plates jobs

Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and

Urban Plates  29 days ago
Urban Plates jobs

Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and

Urban Plates  29 days ago
Urban Plates jobs

Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and

Urban Plates  29 days ago
ModMed jobs

Join the Team Modernizing Medicine At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired

ModMed  29 days ago
Florida Atlantic University jobs

Apply now to join FAU on its race to excellence. For more information on everything FAU has to offer, please visit www.fau.edu/jobs. Note: Current FAU employees must apply as an internal applicant by logging into their

Florida Atlantic University  29 days ago
Alignment Health jobs

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united

Alignment Health  29 days ago
Trinity Property Consultants jobs

About Trinity Property Consultants At Trinity Property Consultants, your expertise fuels our mission. Guided by our values of innovation, teamwork, excellence, and empowerment, we’ve been a leader in the multifamily industry for over 25 years and

Trinity Property Consultants  28 days ago

Subscribe for job alerts and resources to make your job search easier!

Confirmation email sent to

Check your email and click on the link to start receiving your job alerts

Receive the latest job openings for:

hmo

You also might be interested in:

PPO

Wellness

Microsoft Office

Vision Insurance

Flexible Spending Accounts

Equities

Critical Illness

Fostering

Indemnity

PTO

Confirmation email sent to

Check your email and click on the link to start receiving your job alerts

All Filters Apply
Sort by
Employer/Recruiter