- Wider Circle (Reading, PA)
- Wider Circle is looking for a Bilingual Community Health Engagement Specialist in Reading, PA to join our circle and play a vital role in running Connect for Life, ... are encouraged to apply!* Responsibilities You will lead the Wider Circle Medicare program in your assigned area, using the Wider Circle-developed curriculum to… more
- Marion County (Salem, OR)
- …not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND ... Adult Behavioral Health peer team as a Peer Support Specialist and use your lived experience to support others!...Duties include, but are not limited to the following Provide support, encouragement, and assistance to mental health individuals… more
- ProKatchers (Bowling Green, NY)
- Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- 5:00pm ... charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement activities. This...this role will be required to conduct regular internal provider audits and then document, summarize and report findings.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …health of our communities. About the Role:Job SummaryThe Population Health Specialist contributes to the multi-disciplinary population health team approach by ... to support performance in our value-based contracts. The Population Health Specialist works cross-functionally with others internally and externally to support data… more
- Marion County (Bellvue, CO)
- …not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND ... interested in being part of a positive and strength-based team working together to provide quality behavioral health services to our community? If so, we have the… more
- Marion County (Seattle, WA)
- …not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND ... Program Therapist will work collaboratively within an interdisciplinary team to provide Person-Centered mental health treatment services in a 24-hour residential… more
- Marion County (Salem, OR)
- …not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND ... are subject to union contract negotiations and may change as a result.PandoLogic. Keywords: Developmental Disabilities Specialist , Location: Salem, OR - 97308 more
- Marion County (Woodburn, OR)
- …by offering bilingual/bicultural services at our Woodburn office. The Mental Health Specialist in this position will provide crisis assessments to individuals ... not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND… more
- Medical Mutual of Ohio (Dublin, OH)
- **_Note: This position will be hybrid (in-office & work from home)._** **_The Provider Contract Support Specialist position allows you the flexibility to ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million...maintains contract management files and documentation **Responsibilities** ** Provider Contract Support Specialist ** .… more
- Wider Circle (Reading, PA)
- Wider Circle is looking for a Bilingual Community Health Engagement Specialist in Reading, PA to join our circle and play a vital role in running Connect for Life, ... are encouraged to apply!* Responsibilities + You will lead the Wider Circle Medicare program in your assigned area, using the Wider Circle-developed curriculum to… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... + Description + Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement… more
- Centene Corporation (Sacramento, CA)
- … demographics and specialty provider information + Conduct administrative audits of provider agencies to evaluate provider contract adherence + Review, ... related pends to verify claims payment accuracy + Record, track, and monitor provider contract deliverables + Maintain the Provider Manual and update… more
- Highmark Health (Harrisburg, PA)
- …for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative continuous improvement methodologies. This ... requiring 3 days a week in office or at provider sites. This role supports the Southeastern PA market...markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk… more
- University of Utah Health (Salt Lake City, UT)
- …integrity, quality and trust that are integral to our mission. EO/AA_ The Provider Enrollment Specialist is responsible for obtaining and coordinating all ... necessary provider enrollment applications for billing to Medicare ,...the physician group, individual physician records, regulatory, and hospital contract compliance. Corporate Overview: The University of Utah is… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- … & Medicaid Services (CMS), Office of Acquisition and Grants Management. As a Contract Specialist , GS-1102-11/12, you will you will be responsible for pre-award ... helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to...a position in the Federal service in the GS-1102 Contract Specialist series and I have continually… more
- Fallon Health (Worcester, MA)
- …related to assigned territory, [i.e., internal Joint Operations Committee meetings, provider contract knowledge, PCP reports (changes, additions, deletions)], as ... improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and… more
- MetroLink (Los Angeles, CA)
- …their network to perform your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many services are ... Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4435696) Apply … more
- MetroLink (Los Angeles, CA)
- …their network to perform your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many services are ... Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and Compliance Salary… more
- Conduent (Los Angeles, CA)
- …where individuality is noticed and valued every day. **Insurance/Collections Specialist ** **Pay $18-20hr based on experience** The Insurance/Collections ... overpayment and refund process to ensure account resolution. The Insurance/Collections Specialist is responsible to meet all performance standards: collection goals,… more
- Medical Mutual of Ohio (OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to ... quarterly on-site requirement in Brooklyn, OH_** **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information… more
