| Job alert | Jobs 61 - 70 of 895 |
Grievance & Appeal Lead/Supervisor
VERDA HEALTHCARE, INC.
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Huntington Beach, CA, 92647
Job Description Verda Healthcare, Inc has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a Grievance & Appeal, ... - Jun 11
Nurse Practitioner NP, Part-Time, HRA
Hueman Risk Adjustment
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South Gate, CA, 90280
Job Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around South Gate, CA. This unique opportunity adapts to your lifestyle, giving you the freedom ... - Jun 13
Program Assistant (GARS)
SUNSHINE ENTERPRISE USA LLC
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Orange, CA, 92856
... Monitors for inquiry requests from the Department of Managed Health Care (DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), the Medicare Quality Improvement Organization (QIO) and the State ... - Jun 12
Licensed Clinician, Senior
Blue Shield of California
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Long Beach, CA, 90802
... guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as needed Ensure discharge (DC) planning at levels of care appropriate for the members needs and acuity; ... - Jun 11
Senior Planner
City of Yorba Linda, CA
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Yorba Linda, CA
... Social Security: City does not participate in the Social Security program, except for the mandatory 1.45% Medicare Contribution. 9/80 Work Schedule : Adjusted workweek schedule participation may be required. #J-18808-Ljbffr - Jun 16
Nurse Practitioner NP, Part-Time, HRA
Hueman Risk Adjustment Staffing
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South Gate, CA
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around South Gate, CA. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your ... - Jun 12
Customer Solution Center Audit Readiness Specialist II: Overseeing
The Employee Connect
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Los Angeles, CA
... Minimum 5 years experience in healthcare regulatory auditing (Appeals, Call Centers, Enrollment) Strong analytical, interpersonal, and organizational skills Proficiency in MS Office and familiarity with healthcare regulations (Medi-Cal, Medicare) - Jun 08
Accounting Specialist
GREENVILLAGE INSURANCE SERVICES INC
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Rowland Heights, CA
... of standard accounting procedures Ability to prioritize and multitaskCompany Description Greenvillage Insurance Services is a reputable small local business specializes in Medicare and individual health insurances products and healthcare systems. - Jun 05
Grievance & Appeal Lead/Supervisor
VERDA HEALTHCARE, INC.
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Huntington Beach, CA, 92647
Job Description Verda Healthcare, Inc has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a Grievance & Appeal, ... - Jun 11
Eligibility Specialist FT Days
PIH Health
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Whittier, CA, 90607
The primary responsibility of this position is to facilitate the treatment authorization process for managed care patients (Medicare, HMO and PPO). In addition, this team member provides support to the front desk registration clerk personnel. ... - Jun 07