- 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
- LHH Recruitment Solutions (Phoenix, AZ)
- …full-time Insurance A/R Rep for a client in Phoenix, AZ, on a contract -to-hire basis. The client requires a representative for insurance collections, reviewing and ... Oversee day-to-day billing and collections operations to optimize efficiency. Provide guidance and mentorship to team members, ensuring adherence to… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- … contract language and termsApply a deep understanding of provider reimbursement methodologies for physicians, ancillaries, and hospitals in all ... of successful experience organizing and negotiating value based payment terms with Medicare Advantage and Medicaid plans; Advanced knowledge of and ample experience… 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 ... search of an experienced clerical professional to join our team as an Office Specialist 3 within Adult Mental Health Services. The ideal candidate will have both a… 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 ... use disorders who are under the jurisdiction of the PSRB.A Mental Health Specialist on this team provides individual and group therapy, case management, and… 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 ... Care Services (ECS) and Enhanced Care Outreach Services (ECOS) programs, you'll provide behavioral health services aimed at supporting individuals in reaching their… 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
- 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
- Hartford HealthCare (Farmington, CT)
- …Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Medicare Billing* **Location:** ... payer and/or system trends to Management. Maintains thorough knowledge of payer contract , regulations and guidelines, as well as State and Federal laws relating… 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
- UTMB Health (Galveston, TX)
- Provider Enrollment Specialist , Provost Administration **Galveston, Texas, United States** Clerical & Administrative Support UTMB Health Requisition # 2401087 ... billing, or related experience in a healthcare organization. **Job Summary:** The Provider Enrollment Specialist is responsible for coordinating, monitoring and… more
- Highmark Health (Dover, DE)
- …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
- 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)
- …noticed and valued every day. **Job Description:** **Remote Insurance/Collections Specialist ** **Pay $17-22hr (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
