- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- Commonwealth Care Alliance (Boston, MA)
- …in claims systems (eg, Salesforce, Facets) in compliance with audit standards and MassHealth requirements. + Maintain awareness of MassHealth transmittals, ... 011250 CCA- Claims **_This position is available to remote employees...Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit , compliance, and provider engagement initiatives. This role also… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: Facilities Contract Specialist (Level I/II) Non-Competitive Progression Location: United States-Virginia-Virginia Beach Job Number: 2500008Z Are you ready to ... advance your career in facilities design and construction contracting ? NEXCOM is seeking driven professionals to join our team as Contract Specialist I and II… more
- Army National Guard Units (Flowood, MS)
- …in a career field and are used for the purpose of characterizing a contracting specialist 's qualifications within the GS-1102 career field. - Initial hire ... This National Guard position is for a SUPERVISORY CONTRACT SPECIALIST , Position Description Number T0046000 and is part of...Specialists. Under the supervision of the Chief of the Contracting , performs contracting functions and is responsible… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: SENIOR FACILITIES CONTRACT SPECIALIST Location: United States-Virginia-Virginia Beach Job Number: 2500008Y Navy Exchange Service Command (NEXCOM) offers ... Grade: NF05, Salary Code 5A. Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development, advertisement, award,… more
- Molina Healthcare (NY)
- …Responsible for conducting various audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure ... accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit… more
- Walgreens (Deerfield, IL)
- …events etc). + Acts as a liaison and partners with Provider Enrollment, Accounting, Contracting , Medicare B Operations, and Third Party Audit teams for store ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION TECHNOLOGY SPECIALIST , ISD (CYBER SECURITY) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4871337) Apply SENIOR ... INFORMATION TECHNOLOGY SPECIALIST , ISD (CYBER SECURITY) Salary $160,518.72 - $216,329.52 Annually Location Los Angeles County, CA Job Type Full time Job Number… more
- Manulife (Boston, MA)
- **Compliance and Retiree Benefits Specialist ** The Compliance and Retiree Benefits Specialist is a member of the Global Health and Wellbeing Team, focused on ... Responsibilities:** Compliance Management: + Complete deliverables to support the annual ERISA audit . Partner with vendors to facilitate and validate data due to… more
- Air National Guard Units (Fairchild AFB, WA)
- …Guard Title 32 Excepted Service Unit Technician position: QUALITY ASSURANCE SPECIALIST Location: 141st Maintenance Group Fairchild AFB, Washington 99011-9413 Air ... and complete all application requirements. Responsibilities A GS-1910-11, QUALITY ASSURANCE SPECIALIST : Serves as the Office of Primary Responsibility (OPR) for wing… more
- Corewell Health (Grand Rapids, MI)
- …You will lead cross-functional efforts, ensuring interdependencies across Network Contracting , Utilization Management, and Billing Policy are effectively managed to ... will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This position is responsible… more