- Molina Healthcare (NE)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... all lines of business (Medicare, Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with… more
- Providence (NM)
- …(CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM Specialist acts as the liaison between ... TX or NM are encouraged to apply.** As a member of the PSJH System Revenue Integrity Chargemaster (RICDM)...California Fair Chance Act. **About the Team** Providence Shared Services is a service line within Providence… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- … services relationships, entering of medication orders, and customer service for patients/providers in a call center environment. **Responsibilities** + Provide ... protocol and non-standard service models to provide the highest quality of services to patients + Serve as subject matter experts on the intricacies of selected… more
- RTX Corporation (Des Moines, IA)
- …Posted:** 2025-12-24 **Country:** United States of America **Location:** UTIA1: Iowa - Corp Remote 123 Iowa Corporate Remote Location , Des Moines, IA, 50047 ... USA **Position Role Type:** Remote **U.S. Citizen, US Person, or Immigration Status Requirements:**...Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a ... coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment… more
- Patterson Companies, Inc. (Louisville, KY)
- …, peripheral devices, and equipment via a combination of verbal guidance and remote connection to the customer's computer(s). The specialist documents the type ... that they build a stronger and successful organization. **Job Description:** The Support Specialist - Tier I properly responds to inbound and outbound customer calls… more
- US Foods (Vista, CA)
- …emerging technical issues. **Flexible Work Policy: The work for the Retail Support Specialist position is completely remote anywhere in the United States except ... work environment that supports our transformation. The Retail Support Specialist focuses on all aspects of IT systems support...for the retail store environment + Set specific customer service standards and SLAs for internal and external support… more
- Swedish Health Services (Seattle, WA)
- …in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting documentation ... - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our...We are committed to the principle that every workforce member has the right to work in surroundings that… more
- RTX Corporation (Arlington, VA)
- …is to join our RTX **Enterprise Services ** team: **Role Overview:** Principal Specialist , Cybersecurity & Risk Management, a member of the Global Governance, ... 1100 Wilson Boulevard , Arlington, VA, 22209 USA **Position Role Type:** Remote **U.S. Citizen, US Person, or Immigration Status Requirements:** US citizenship is… more
- UTMB Health (Webster, TX)
- EHR Clinical Solutions Specialist (Epic Beaker/LIS), Partial Remote - ITS - ClinDoc-Rad **Webster, Texas, United States** Information Technology UTMB Health ... This role works closely with leaders in Information Technology Services (ITS) and other divisions across the enterprise to...support for application delivery. + Participates as a team member . + Adheres to internal controls and reporting structure.… more
- TEKsystems (Phoenix, AZ)
- …inbound calls + This role focuses on Primary Care Physicians referring their patients to Specialist + To be successful in this role a new hire would be focusing on ... verifying benefits and scheduling patients with Specialist Doctors + The position requires excellent listening skills, the ability to research member and… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …non-covered items + Facilitate prior authorization process for customers + Provide clinical services in TherigySTM + Customer service coverage for incoming calls ... and directing incoming calls + Provides resolution to customer service issues to ensure member satisfaction + Work with members to provide resolution to payment… more
- Amentum (Oak Ridge, TN)
- Our Nuclear Programs is a Tier 1 service provider to the US Department of Energy as well as commercial nuclear companies; we deliver safe and innovative solutions at ... complex nuclear cleanup, production and power generation sites. Our services include engineering, construction management, consulting, program management, decommissioning,… more
- Prime Therapeutics (Richmond, VA)
- …future of pharmacy with us. **Job Posting Title** Client Audit Specialist - Remote **Job Description** As a member of the Client Audit Management (CAM) team, ... the Client Audit Specialist is accountable for independently, or in collaboration with...**Minimum Qualifications** + Bachelor's degree in Business, Health Care Services or related area of study, or equivalent combination… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...Transport Inc. + Provides the highest level of customer service to a wide variety of internal and external… more
- Huron Consulting Group (Chicago, IL)
- …Your passion and expertise in clinical research will make you a key member of Huron's Research Office Team. As a Clinical Research Administrative Specialist ... assist in review and feedback for Clinical Research Administrative Specialist I projects and will begin to support client...and to develop strong skills in the variety of service lines Huron's Research Office offers **Essential Duties:** +… more
- Huron Consulting Group (Chicago, IL)
- …Your passion and expertise in clinical research will make you a key member of Huron's Research Office Team. As a Clinical Research Administrative Specialist ... assist in review and feedback for Clinical Research Administrative Specialist I projects and will begin to support client...and to develop strong skills in the variety of service lines Huron's Research Office offers **Required:** + US… more
- Anywhere Real Estate (San Diego, CA)
- …team. As a key member of National Marketing Team for Anywhere Integrate Services , the Marketing Specialist will play a vital role in the planning, execution, ... teams across different regions is a plus. Anywhere Integrated Services is a driving force in the title and...is a driving force in the title and settlement services industry. Anywhere Integrated Services is national… more
- Garnet Health (Middletown, NY)
- …we invite to make your career home with us as a Accounts Payable Specialist I on our Finance team at Garnet Health Medical Center-Middletown. Responsibilities Under ... pay or other forms of compensation or benefits. When determining a team member 's compensation and/or rate, several factors may be considered as applicable (eg,… more
- Insight Global (San Diego, CA)
- …ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic ... company in San Diego is seeking a detail-oriented and organized Post Closing Specialist . This role is responsible for reviewing, auditing, and finalizing loan files… more