• Plan Review Specialist - Planning

    City of Baytown (Baytown, TX)
    Plan Review Specialist - Planning Print...5 year vesting + Retirement Eligibility: 20 years of service /any age - or - 5 years of ... (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4643621) Apply  Plan Review Specialist - Planning Salary $24.06 - $30.07 Hourly Location 2401… more
    City of Baytown (01/12/25)
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  • Senior Specialist , Network Plan

    L3Harris (San Antonio, TX)
    Job Title: Senior Network Specialist , Information Assurance Specialist Job Location: San Antonio, TX Job Code: 19700 Job Schedule: M-F 7-3:30 L3Harris is ... currently searching for a Sr. Network Specialist , Information Assurance for our San Antonio, TX site....applied + Analyze software + Interpret security requirements + Plan effective control implementations + Ability to function and… more
    L3Harris (01/15/25)
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  • Community Resource Center Specialist II

    LA Care Health Plan (Los Angeles, CA)
    Community Resource Center Specialist II Job Category: Customer Service Department: Community Resource Center-Metro LA Location: Los Angeles, CA, US, 90006 ... that purpose. Job Summary The Community Resource Center (CRC) Specialist II supports in building relationships with members of...select cases. Works in partnership with LA Care health plan departments to provide customer service , social… more
    LA Care Health Plan (12/21/24)
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  • Community Resource Center Specialist III

    LA Care Health Plan (Long Beach, CA)
    Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center- Long Beach Location: Long Beach, CA, US, 90805 ... - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members… more
    LA Care Health Plan (12/19/24)
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  • Commercial Plan Reviewer (Permits…

    City of Norfolk, Virginia (Norfolk, VA)
    Commercial Plan Reviewer (Permits Specialist , Senior) Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/4797390) Apply  Commercial Plan ... and construction package and manages personnel. Essential Functions + Performs commercial plan reviews in conformance with the Virginia Construction code. + Conducts… more
    City of Norfolk, Virginia (01/20/25)
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  • Care Management Specialist II (D-SNP)

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II (D-SNP) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform… more
    LA Care Health Plan (11/27/24)
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  • Customer Solution Center Training…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Training Specialist II Job Category: Customer Service Department: CSC Training & Performance Location: Los Angeles, CA, US, 90017 ... Ensures Customer Solution Center staff are trained in areas of Customer Service , HIPAA Compliance, Plan Partner Agreements, Departmental Policies and Procedures,… more
    LA Care Health Plan (01/23/25)
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  • Specialist , Network Plan Engineer

    L3Harris (San Antonio, TX)
    Job Title: Specialist , Network Specialist , Trellix Administrator Job Location: San Antonio, TX Job Code: 19701 Job Schedule: M-F 7-3:30 L3Harris is currently ... searching for a Sr. Network Specialist , Trellix Administrator for our San Antonio, TX site....thorough analysis to identify reasons for underperformance; collaborating with service owners to develop improvement strategies and plans. +… more
    L3Harris (01/15/25)
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  • Retirement Plan Specialist

    HUB International (Dallas, TX)
    …team. **Description/Overview:** We are looking for a motivated individual to join our Retirement Plan Specialist ("RPS") Team. The RPS role acts as a personable ... diverse financial services organization serving hundreds of thousands of retirement plan participants, individuals, and institutions across the United States. We… more
    HUB International (12/27/24)
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  • Health Plan Enrollment Specialist

    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 ... and responsible manner to enhance relationships and render exceptional service . Adheres to all Compliance/Program Integrity requirements. Complies with HIPAA… more
    Apex Health Solutions (01/14/25)
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  • Utilization Management Nurse Specialist RN…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
    LA Care Health Plan (01/24/25)
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  • Referral Specialist Registered Nurse…

    Sanford Health (Sioux Falls, SD)
    …of out-of-network exception requests. Provide care coordination for designated Health Plan members that includes managing and directing members to appropriate ... coordinating care. Responsible for managing the authorization process for participating plan members ensuring that all services are performed within assigned… more
    Sanford Health (01/14/25)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... and presentation skills, able to work effectively with various internal departments/ service areas, plan partners, participating provider groups and other… more
    LA Care Health Plan (10/31/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight… more
    LA Care Health Plan (12/30/24)
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  • Retirement Plan Specialist

    ADP (Chicago, IL)
    …enjoy the rewards, support and recognition you deserve. ADP is hiring a Retirement Plan Specialist In this position, you'll identify and cultivate new prospects ... driven by our CORE values: Insightful Expertise, Integrity is Everything, Service Excellence, Inspiring Innovation, Each Person Counts, Results-Driven, and Social… more
    ADP (01/25/25)
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  • Enrollment and Eligibility Specialist

    Brighton Health Plan Solutions, LLC (Denver, CO)
    …Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Specialist for our Enrollment and Eligibility/ Employer Services Department, as a REMOTE ... collaborate with key stakeholders (the client, employer partners, Customer Service , IT, Finance, Carriers, Vendors, and more) to do...to work independently as well. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
    Brighton Health Plan Solutions, LLC (01/10/25)
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  • Regulatory Compliance Quality Audit…

    LA Care Health Plan (Los Angeles, CA)
    Regulatory Compliance Quality Audit Specialist Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and… more
    LA Care Health Plan (11/05/24)
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  • Product Solutions Specialist I

    LA Care Health Plan (Los Angeles, CA)
    Product Solutions Specialist I Job Category: Administrative, HR, Business Professionals Department: Commercial and Group Product Management Location: Los Angeles, ... - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...to achieve that purpose. Job Summary The Product Solutions Specialist I role is focused on providing end to… more
    LA Care Health Plan (12/10/24)
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  • Intake Specialist Appeal and Grievance…

    BayCare Health System (Clearwater, FL)
    …must reside in Florida Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Appeal and Grievance - Health Plan **Location** ... Equivalent GED **Required Experience:** + 1 year of experience in Customer Service , Claims, Appeals, or Healthcare Administration. + Previous experience in handling… more
    BayCare Health System (12/06/24)
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  • Customer Service Specialist II

    AON (MT)
    Aon is looking for a Customer Service Specialist II As a Customer Service Specialist you will contribute to the success of our Private Flood Insurance ... day will look like: Under moderate supervision, the Customer Service Specialist will be responsible for taking...colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase … more
    AON (01/17/25)
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