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New SearchDescription Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...
Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...
Job Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...
Title: Clinical Appeals Analyst Location: 4613 University Drive Durham NC 27707 United States (Onsite) Duration: 6 months Pay rate: $41.75/hr (On W2) Job Description: The ...
Title: Clinical Appeals Analyst Location: 4613 University Drive Durham NC 27707 United States (Onsite) Duration: 6 months Pay rate: $41.75/hr (On W2) Job Description: The ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...
Candidates must reside in California or be in PST. JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution ...
JOB DESCRIPTION *****Preferred time zones are EST. We highly prefer candidates based in EST time zones. Working hours can be from 7 am to 4pm EST.***** Job Summary Collects, ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints/disputes and communicating resolution to members and provider (or authorized ...
JOB DESCRIPTION Job Summary Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving ...
Description Overview: The director provides leadership for USFHP clinical operations: including care management and the clinical quality management program. In collaboration ...
Immediate need for a talented Case manager- Appeal & Grievance. This is a 03+ Months contract opportunity with long-term potential and is located in Pleasanton, CA (Onsite). Please ...
JOB DESCRIPTION Job Summary Analyzes complex business problems (Appeals & Grievances and Provider disputes)and issues using data from internal and external sources to provide ...
JOB DESCRIPTION Job Summary Molina Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, ...
JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of ...
JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of ...
Knowledge/Skills/Abilities • Develops and implements provider network and contract strategies, identifying those specialties and geographic locations on which to concentrate ...
Overview: To manage and coordinate incoming grievances and appeals and provide administrative support for the Grievance Unit. Assesses and completes appropriate documentation ...
Overview Now hiring a Medicaid Outreach & Retention Representative Responsible for statewide education, outreach, acquisition and retention of Presbyterian Medicaid members ...
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