• Denial Specialist II

    Centene Corporation (Phoenix, AZ)
    …+ Coordinates all data collection, analysis, and reporting activities that impact the denial process + Assists with the compliance and turn-around time (TAT) log for ... all correspondence notifications + Performs other duties as assigned + Complies with all policies and standards + Multiple openings and schedules available; + Monday - Friday: 1:00pm - 10:00pm EST + Tuesday - Saturday: 1:00pm - 10:00pm EST + Sunday - Thursday:… more
    Centene Corporation (06/04/25)
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  • SR Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    …Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible for ensuring CCA's operational compliance with ... Translate regulatory updates into operational actions, collaborating with Claims, Appeals, UM , and Provider Services. * Conduct internal audits and retrospective… more
    Commonwealth Care Alliance (06/02/25)
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