- Randstad US (Dublin, OH)
- …and identifying upselling opportunities to enhance revenue. Within the Managed Care Department, the Solutions Enrollment Specialist will assist customers ... support specialist . + dublin , ohio + posted october...Systems Support + Customer Relationship Management + Pharmaceutical + Managed Care Qualifications + Years of experience:… more
- BayCare Health System (Tampa, FL)
- …and board requirements and will assist providers with renewals. + Enrolls and maintains managed care enrollment by providing updates to the health/payor ... reside in Florida. **Responsibilities** + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges… more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment ... individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that… more
- Apex Health Solutions (Houston, TX)
- Summary: The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding ... eligibility, facilitating enrollment of potential members, and rendering any needed system...services area. Skills: Five (5) years of experience in managed care or healthcare customer service, eligibility,… more
- TEKsystems (Cincinnati, OH)
- TEKsystems has an exciting opportunity as a Healthcare Payer Enrollment Specialist 100% On-Site - Cincinnati, OH $20-30/hr based on experience Great hours: 7 am ... pm M - F Job Description: + The Healthcare Enrollment Specialist will complete and review Provider...for application information when necessary, contact government agencies and managed care companies to obtain status and… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator, Managed Care I** **Location: 4101 Percival Road Columbia SC 29229 US (Hybrid)** **Duration: 04+ Contract** **Pay Range $25.00 to ... - 5:00 PM)** We are looking for a "Coordinator, Managed Care I" to join one of...manage health interventions, and ensure members receive quality, cost-effective care . The Clinical Review Specialist will review… more
- ManpowerGroup (Columbia, SC)
- …Communicate with healthcare providers and members about service requests, authorizations, and care options. **Patient Education:** + Promote enrollment in health ... **Job Overview:** + We are seeking a skilled Clinical Utilization Review Specialist to review and evaluate medical and behavioural health service requests, ensuring… more
- LA Care Health Plan (Los Angeles, CA)
- …in resolving conflict. Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment processes, and regulatory ... Product Solutions Specialist II Job Category: Sales & Marketing Department:...requirements governing Medi-Cal managed care plans. Understanding of managed … more
- Essentia Health (Fargo, ND)
- …all contracted insurance networks and subnetworks. Understands CMS Medicare, Medicaid, and managed care billing, credentialing and enrollment requirements ... but not required **Licensure/Certification Qualifications:** **Certification/Licensure Requirements:** + Provider Enrollment Specialist Certificate (PESC) or ability obtain… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …overall strategic plan. **Summary:** Follows established procedures for enrolling providers with managed care plans and maintain the Council of Affordable ... for every change and emailing all changes to the managed care plans MHP Management Team, Senior...providers. Spreadsheet maintenance and CUA certificate updates. Contacts manage care plan representatives weekly for new provider enrollment… more
- Elderwood (Monroe County, NY)
- …WNY territory. The Outreach Specialist will be able to educate individuals on Managed Long Term Care benefits. The Outreach Specialist will also build ... Salary $25.20 - $36.75 an hour Overview Outreach Specialist Overview The Outreach Specialist promotes...Elderwood IPA's mission, partnering organization services, MLTC model of care , services provided and basic enrollment qualifications… more
- Acacia Network (Bronx, NY)
- …any changes in benefits * Assist Case Managers in keeping accurate records meeting managed care requirements * Attend and participate in all required agency ... meetings, in-service training and weekly case review. The Benefit Enrollment Specialist will work in Acacia Amanecer...year KEY ESSENTIAL FUNCTIONS: + Must be familiarized with Managed Care providers to ensure proper processing… more
- McLaren Health Care (Flint, MI)
- …(GED). + Two (2) years' experience and knowledge of HMO, PPO, TPA, and Managed Care functions. **Preferred:** + Associate degree in business, health care ... We are looking for a Provider Relations Specialist to join us in leading our organization...Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS), Box OHE-1263/44031 ... minimum qualifications for this position. The qualifications are:* Education Finance Specialist Trainee 1, NS/EQ-14: Candidates must have a bachelor's degree or… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Education Department, State Title Information Technology Specialist 4, Box PIMS-860/01765 Occupational Category IT Engineering, Sciences Salary ... one year of permanent competitive or 55b/c service as an Information Technology Specialist 4. Eligible List Appointment: Candidates must be reachable on the Civil… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... qualifications for this position. The qualifications are:* Appointment to Education Finance Specialist Trainee 1: Candidates must have a bachelor's degree or higher.… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Education Department, State Title Administrative Specialist 1, Administrative Specialist Trainee 1, Administrative Specialist Trainee 2, ... the open-competitive minimum qualifications for this position. The qualifications are:Administrative Specialist Trainee 1 (NS, Equated to SG-13):* A bachelor's or… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Credentials Specialist 1, Education Credentials Specialist Trainee 1, (NY HELPS) Box ... minimum qualifications for this position. The qualifications are:Education Credentials Specialist Trainee 1:* Candidates must have a bachelor's degree or… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS), Box CFO-724/53054 ... qualifications for this position. The qualifications are:* Appointment to Education Finance Specialist Trainee 1: Candidates must have a bachelor's degree or higher.… more