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36 fresh jobs found

Remote Behavioral Medical Director
Remote-IL, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 231K+

Quality Improvement Coordinator - Behavioral Health
Remote-WA, United States

Centene Corporation

Clinical Nursing Grievances Quality of care Clinical Quality Program Evaluation Healthcare administration Appeals HEDIS Medical necessity +19

USD 66K+

Part-Time Weekend Medical Director
Remote-FL, United States

Centene Corporation

Health financing Government programs Medical management programs Provider network development Health administration Health care quality Personnel management Medical Review Clinical Quality +32

Exec Senior Part Time Full Time

USD 231K+

Veterans Benefits Counselor
REMOTE OPTIONS, PEORIA, SURPRISE

State of Arizona

AMS Federal and state law compliance Veterans benefits Electronic record management Communications planning Counseling techniques Client counseling State law Appeals +38

USD 42K+

Veterans Benefits Counselor
REMOTE OPTIONS, CASA GRANDE

State of Arizona

AMS Electronic record keeping Veterans benefits Counseling techniques Communications planning Client counseling State law Appeals Policies and procedures +38

Entry Mid Full Time

USD 42K+

Procurement Manager
REMOTE OPTIONS, PHOENIX

State of Arizona

Source Selection Procurement initiatives Interagency Service Agreements Intergovernmental Agreements Administrative rules Government Procurement Research and Analysis Appeals Policies and procedures +36

USD 56K+

Hearing Offcer 3
REMOTE OPTIONS, PHOENIX

State of Arizona

Rules of Evidence Federal law Arizona law Telephonic hearings Due process Evidentiary rulings Administrative hearings Federal and state laws Legal principles +30

USD 68K+

Senior Analytic Consultant
New Albany-7400 West Campus Road, United States

Medicare Compliance Analytical reporting Appeals Claims processing Root Cause Analysis Medicare Health care Clinical Critical thinking +17

Senior Full Time

USD 46K+

Pharmacy Technician (Appeals)
Remote-FL, United States

Centene Corporation

Formulary research Grievances Pharmacy operations Pharmacy Technician Appeals Medicare part d Prior authorization Health Services Medical management +10

Entry Mid Full Time

USD 38K+

Revenue Cycle Claims Client Billing Specialist-Temp
Remote

Payer utilization management Procedure coding Modifier selection UB revenue codes Medical billing systems Insurance collections Billing Systems Billing and Coding Team Player +35

USD 46K+

Clinical Review Clinician - Appeals
Remote-NY, United States

Centene Corporation

Clinical reviews Appeals processing Clinical data analysis Interdepartmental Collaboration Ncqa standards Medicaid regulations Appeals Clinical Review Medical necessity +19

USD 52K+

Revenue Cycle Claims Specialist-Temp
Remote

Payer utilization management Procedure coding Modifier selection UB revenue codes Medical billing systems Insurance collections Billing Systems Billing and Coding Team Player +35

USD 46K+

Deputy Assistant Director
REMOTE OPTIONS, PHOENIX

State of Arizona

Medicaid programs Quality outcomes Programmatic decisions Procurement initiatives Policy decisions Clinical Initiatives Managed care operations Administrative hearings Quality of care +57

Exec Senior Full Time

USD 110K+

Remote Medical Director - Michigan
Remote-MI, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 221K+

Revenue Cycle Claims Denials and Appeals Specialist (temp-to-hire)
Remote

Payer utilization management Procedure coding Modifier selection UB revenue codes Medical billing systems Insurance collections Billing Systems Billing and Coding Team Player +35

USD 46K+

Appeals Nurse Consultant (Remote)
Work At Home-Connecticut, United States

Medicare guidelines Computer Systems RN licensure Appeals Medical necessity Typing Utilization management Clinical Experience RN +12

USD 66K+

Compliance Investigator Associate
Remote-FL, United States

Centene Corporation

Appeals CMS Health Insurance Medicare Risk Assessment Medicaid Investigation Access Insurance +8

USD 77K+

Clinical Case Manager Behavioral Health DSNP- Spanish Speaking
Work At Home - Utah, United States

Substance abuse knowledge Clinical Case Management Substance abuse disorders Provider coordination Concurrent review Bilingual Spanish and English Spanish Speaking Community Resource Coordination Substance abuse +32

USD 54K+

Provider Quality Liaison
Remote-AR, United States

Centene Corporation

HOS P4P Member Experience CAHPS Medical record documentation Grievances Clinical Quality Provider Relations Appeals +21

USD 64K+

Medical Director - New Hampshire
Remote-NH, United States

Centene Corporation

Health financing Provider network development Medical management programs Health administration Health care quality Personnel management Medical Review Medical Services Accreditation Standards +27

Exec Senior Full Time

USD 206K+

Patient Access Specialist
USA - PA - Remote, United States

AmerisourceBergen

Claims assistance Benefits Verification Benefit Verification Billing and Coding Patient assistance Appeals Patient services Medical Billing Prior authorization +31

USD 42K+

Patient Services Specialist
USA - WA - Remote, United States

AmerisourceBergen

Insurance benefits Reimbursement activities Prior authorizations Patient assistance programs Benefit Verification Pharmaceutical products Pharmacy Technician Patient assistance Strong interpersonal +38

USD 42K+

Senior Field Reimbursement Specialist
USA - MS - Remote, United States

AmerisourceBergen

Educational presentations Coverage management Buy and bill Pharmacy processes Reimbursement support Pharmacy benefits Financial assistance Billing and Coding Patient assistance +46

Senior Full Time

USD 98K+

Field Reimbursement Specialist
USA - WA - Remote, United States

AmerisourceBergen

Medical Benefits Coverage management Buy and bill Reimbursement support Pharmacy benefits Patient assistance Liaison Appeals Practice Management +23

USD 86K+

Patient Services Specialist – (Rheumatology)
USA - TX - Remote, United States

AmerisourceBergen

Copay programs Insurance benefits Reimbursement activities Patient assistance programs Prior authorizations Benefit Verification Pharmaceutical products Patient assistance Pharmacy Technician +39

USD 42K+

Medical Management Auditor
Remote-FL, United States

Centene Corporation

Error resolution Clinical Systems Appeals Medical management Credentialing Process Development RN Health Insurance Case Management +8

USD 54K+

Customer Service Representative
Work At Home-Texas, United States

Claims research Appeals Phone Medical necessity Healthcare Knowledge Referrals Call Center Health care Critical thinking +10

Entry Mid Full Time

USD 34K+

Patient Access Consultant
USA - PA - Remote, United States

AmerisourceBergen

Claims assistance Health care billing Training and Support Pharmacy operations Benefit Verification Medical claims Billing and Coding Appeals Computer Sciences +37

Senior Mid Full Time

USD 50K+

Field Reimbursement Manager (DC, VA, MD, WV)
Remote, US, United States

Financial assistance Patient Support Services Prior authorizations Appeals Payer Environment Product Access Patient Support Programs Issue Resolution Customer focus +29

USD 122K+

Field Reimbursement Manager - Dermatology - Pittsburgh
Remote, US, United States

Financial assistance Patient Support Services Appeals Dermatology Prior authorization Issue Resolution Biologics Customer focus Rare diseases +19

USD 122K+

Senior Claims Benefit Specialist - Remote
Work At Home-Minnesota, United States

Medical claim processing Claim adjudication Claims Adjudication Cost Containment Outbound Calls Appeals Phone Medical necessity Eligibility verification +9

Senior Mid Full Time

USD 36K+

Patient Access Specialist
USA - NC - Remote, United States

AmerisourceBergen

Benefits Verification Benefit Verification Billing and Coding Patient assistance Appeals Patient services Prior authorization Medical Billing Healthcare industry +29

USD 42K+

Field Case Manager - British Columbia
CAN - BC - Remote

AmerisourceBergen

Payer forms Pharmacy coordination Financial assistance Reimbursement support Patient Enrollment Appeals Liaison Practice Management Patient services +32

CAD 65K+

Remote Medical Director
Remote-MO, United States

Centene Corporation

Health care quality Medical management programs Culturally diverse care Health financing Provider network development Health administration Accreditation Standards Medical Review Personnel management +17

Exec Senior Full Time

USD 227K+

Associate General Counsel (Medicare)
Remote-MO, United States

Centene Corporation

Health law Provider dispute resolution Preventative law Grievances Healthcare Policies Appeals Corporate law Risk Adjustment Government relations +12

Senior Mid Full Time

USD 178K+

Patient Access Specialist
USA - NC - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Billing and Coding Appeals Patient assistance Medical Billing Prior authorization Microsoft Outlook Healthcare industry +28

USD 42K+

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