• Claims Operations Manager

    CareFirst (Fairfax, VA)
    …leadership. **Knowledge, Skills and Abilities (KSAs)** + Knowledge of call center operations claims and/or enrollment and billing and workflows. + Strong ... support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations . Investigates and… more
    CareFirst (05/08/25)
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  • Provider Relations Representative - BH

    Humana (Fairfax, VA)
    …role should have critical thinking/problem solving skills, understanding of health plan operations , and strong interpersonal skills. + Serve as primary relationship ... manager with assigned LTSS and HCBS providers to ensure...where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals) + Work with… more
    Humana (05/14/25)
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