- Medical Mutual of Ohio (Brooklyn, OH)
- …cash receipts and adjustments. Balances daily cash deposits via next day reports. Sr . Payment Control Specialist Processes routine to complex and/or varied ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....account and invoice. + Performs other duties as assigned. Sr . Payment Control Specialist + Balances daily… more
- Medical Mutual of Ohio (OH)
- …issues affecting providers and maintains contract management files and documentation. Senior Provider Contract Support Specialist Under limited supervision, ... Operating Committees with major health systems. + Performs other duties as assigned. Senior Provider Contract Support Specialist + Follows up and tracks… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Sr Compliance Specialist Exemption Status Exempt Management Level n/a Direct Reports ... must reside in Oregon or Washington. Job Summary The Sr Compliance Specialist is responsible for supporting...measures to detect, correct and prevent compliance issues. This senior level role focuses on the more complex compliance… more
- CareOregon (Portland, OR)
- …Texas, Montana, or Wisconsin. Job Title Sr Planning and Operations Specialist Department Medicare Exemption Status Exempt Requisition # 24639 Direct Reports ... N/A Manager Title Director, Medicare Network Performance Pay & Benefits Estimated hiring range...and operations within the assigned business unit at a senior level. This includes an advanced understanding and ability… more
- Prime Therapeutics (Columbus, OH)
- …Title** Sr Resolution Specialist **Job Description** The Resolution Specialist Sr is responsible for owning the Pharmacy contract termination processes. ... accountable for developing and maintaining the termination processes and analyzing for member and network disruption. **Responsibilities** + Own end to end Pharmacy… more
- Molina Healthcare (Columbus, OH)
- …accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance ... Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main ... related filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new product strategies by… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Prepares and maintains ... around town, just for being a Medical Mutual team member . + The opportunity to earn cash rewards for...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Providence (NM)
- **Description** **Providence is calling a Senior Charge Description Master Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, ... or MT.** As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM)… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Senior Contract Specialist Exemption Status Exempt Department Contract Management ... one of the listed 9 states. Job Summary The Senior Contract Specialist is a key contributor...the Oregon Health Plan + Strong knowledge of federal Medicare regulations and state Medicaid rules (OARs) + Knowledge… more
- Molina Healthcare (Seattle, WA)
- …and provide education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or ... + Support internal Quality and VBC-related activities. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …problem resolution, and planning. . Performs other duties as assigned. ** Sr . Sourcing Specialist ** **Provides expertise to the Procurement Department ... **.** **E-Sourcing - Oracle (iProcurement), Access, Excel, Word, and PowerPoint** ** Sr . Sourcing Specialist ** **Education and Experience:** **.** **Bachelor's… more
- City and County of San Francisco (San Francisco, CA)
- …of structural racism and historical injustices as a fully integrated and collaborative member of San Francisco's Public Health Department. The mission of JHS is to ... structural racism and historical injustices, as a fully integrated and collaborative member of San Francisco's Public Health Department. JHS is responsible for the… more
- CareOregon (Portland, OR)
- …agreements for all lines of business. + May assist or partner with the Sr Compliance Specialist on more complex or larger compliance reviews. + Observe ... with the Compliance Manager. + In partnership with the Sr Compliance Specialist , develop and maintain an...Skills and Abilities Required Knowledge + Growing knowledge of Medicare and Medicaid compliance practices and procedures + Understanding… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information Systems ... more junior staff. . Performs other duties as assigned. ** Senior Business Systems Specialist ** Works with management,...around town, just for being a Medical Mutual team member . + The opportunity to earn cash rewards for… more
- Medical Mutual of Ohio (OH)
- …+ Supports special projects as needed + Performs other duties as assigned. ** Senior Provider Credentialing & Data Specialist ** + Retrieves applications and/or ... credentialing and/or database management procedures. + Strong data entry skills. ** Senior Provider Credentialing & Data Specialist ** **Education and Experience**… more
- New York State Civil Service (Tupper Lake, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... limited license/permit option under notes) AND certification by a Member Board of the American Board of Medical Specialties...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- HCA Healthcare (Reston, VA)
- …**Introduction** Do you have the career opportunities as a Medical Collections Specialist you want with your current employer? We have an exciting opportunity ... provider of healthcare services, HCA Healthcare. We are looking for a skilled collections specialist to work Monday-Friday between the hours of 8:30 AM - 5:30 PM… more
- HCA Healthcare (Marion, NC)
- …like family! Jump-start your career as a Life Safety and EOC Specialist Tech today with Mission Hospital McDowell. **Benefits** Mission Hospital McDowell, offers ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...join our team as a Life Safety and EOC Specialist Tech. We care for our community! Just last… more
- LA Care Health Plan (Panorama City, CA)
- Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center-Panorama Location: Panorama City, CA, US, 91402 ... to achieve that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community,… more