- Evolent (Washington, DC)
- …capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Humana (Washington, DC)
- …of denied claims identified via root cause analysis. + Interfaces with the Provider Call Center to gather information from provider calls related to claims to ... least 100,000/300,000/100,000 limits. **Preferred Qualifications** + Experience with Oklahoma Medicaid . + Thorough understanding of managed care contracts, including… more
- GE HealthCare (Washington, DC)
- …ICD-10 codes and associated regulations. . Experience working with HUB or reimbursement call center . . Ability to establish close collaboration with strategic ... access & reimbursement subject matter expert who provides education, support center integration and patient level issue resolution across the Pharmaceutical… more
- Evolent (Washington, DC)
- …capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet ... + Understanding of regulatory framework for utilization management in Medicare, Medicaid , and Commercial contexts + 5+ years leading utilization management program… more