- St. George Tanaq Corporation (Santa Fe, NM)
- Dispute Resolution Reviewer III Fully...Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer III (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- St. George Tanaq Corporation (Santa Fe, NM)
- Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer I (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- Magellan Health Services (Albuquerque, NM)
- …with a high level of detailed quality and professionalism. + Assists with claim dispute resolution through research and facilitating the resolution of the ... and analyzes relevant data to address problems effectively. + Assists with claim dispute resolution through research and facilitating the resolution of… more
- Molina Healthcare (Santa Fe, NM)
- …recognition and timely routing of member complaints. * Trains each state's provider dispute resolution unit on CMS standards and requirements, including the ... experience. **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/ resolution , including 2… more
- Cardinal Health (Santa Fe, NM)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** The Senior Representative, Customer Service ... by acting as a liaison in problem-solving, research and problem/ dispute resolution . + Collects and reviews customer...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Santa Fe, NM)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** Responsible for answering inbound calls from ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Cardinal Health (Santa Fe, NM)
- …and/or other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** This position is a customer care ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Cardinal Health (Santa Fe, NM)
- …services by acting as a liaison in problem-solving, research and problem/ dispute resolution **Responsibilities:** + Conducts in-depth insurance verifications for ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Fujifilm (Santa Fe, NM)
- …requirements. + Support antitrust, trade, and environmental compliance, pre-litigation, dispute resolution , government inquiries, and investigation, settlement ... chemicals and ink subsidiaries, ensuring operational and regulatory compliance. + Draft, review , revise, and negotiate a large volume of strategic and complex… more
- Cardinal Health (Santa Fe, NM)
- …expense. **_Responsibilities_** + Conduct proactive research, customer and supplier inquiries and dispute resolution all with a concentration on customer pricing ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- CVS Health (Santa Fe, NM)
- …internal operation requirements, policies, and procedures. **Key Responsibilities:** + Review provider dispute resolutions according to organizational ... heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate...Analyst will be responsible for the accurate analysis and resolution of provider participation and pricing disputes. This will… more