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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  21 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  6 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  1 day 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  28 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  17 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  15 days 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

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  21 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  20 hours ago
Colorado Coalition for the Homeless jobs

This position will be posted for a minimum of 5 days The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for

Colorado Coalition For The Homeless  28 days ago
OTTO Engineering jobs

Tool and Die Maker Why join OTTO Engineering? At OTTO, we don’t just manufacture products - we engineer mission-critical solutions with precision and pride. Our Tech Center showcases cutting-edge technology with complete engineering capabilities for designing,

Premium Internship CAD Responsiveness HMO PPO Maker 66,000 USD
OTTO Engineering  28 days ago
Divergent Technologies jobs

Divergent is a technology company that has architected, invented, built, and commercialized an end-to-end factory system called the Divergent Adaptive Production System (DAPS) that comprehensively uses machine learning to optimally engineer, additively manufacture, and flexibly assemble

Divergent Technologies  28 days ago
Altruist jobs

About Altruist Altruist is transforming the multi-trillion dollar wealth management industry by building an AI platform for wealth professionals. We partner with financial advisors nationwide, empowering them to grow, optimize time and resources, and deliver superior

Altruist  28 days ago
Emory University jobs

Discover Your Career at Emory University Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to

Emory University  28 days ago
Sutter Health jobs

We are so glad you are interested in joining Sutter Health! Organization:SMCS-Valley Administration Position Overview:Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician,

Sutter Health  29 days ago
Keck Medicine of USC jobs

The Financial Clearance Specialist IV is responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete. Documentation of accurate insurance information, knowledge of insurance plans and authorization details to optimize reimbursement from the

Keck Medicine Of USC  29 days ago
Modernistic Cleaning & Restoration jobs

Fleet Mechanic Pay: $27.00-$29.00 per hour Start your career at the BEST Home Service Company in the state of Michigan! For over 50 years, Modernistic has provided our community with exceptional cleaning and restoration services throughout

Modernistic Cleaning & Restoration  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

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