. In addition, establishes benefits, utilizes contract information, OHSU policies and insurance carrier policies on managed care... dermatologic care for the broad range of skin, hair, nail, and mucous membrane disorders. The PAS Resource Specialist acts...
for training-related contracts by assisting with contract development, including solicitation and administration of requests... service as a Training Specialist 1 Mental Hygiene and reachable on the Civil Service eligible list. Open Competitive...
Software Guidance & Assistance, Inc., (SGA), is searching for a Denial Prevention Specialist for a Contract assignment...: Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed. Contacting insurance...
Job Description: Overview Konica Minolta currently has an exciting opportunity for an Admin Ops Specialist... assigned Branch(es) Ensure that all order and contract paperwork is in compliance with Company policies and procedures Set-up...
contracts managed. Monitor provider performance and programmatic terms of the contract. Ensure providers meet all contract terms...Requisition No: 869135 Agency: Department of Health Working Title: OPS GRANTS SPECIALIST III - 64916029 Pay Plan...
analysis. Maintains a working knowledge and understanding of managed care, health care delivery trends, payment/reimbursement...Miami, FL Full-Time JW-Surgical Serv Adm Summary The Business Support Specialist performs advanced high volume...
Information Specialist (MMIS) position is part of the ProPharma Medical Information Contact Center and follows all corresponding..., health care professional and other external customer requests for medical and safety information received via telephone...
contracts managed. Monitor provider performance and programmatic terms of the contract. Ensure providers meet all contract terms...Requisition No: 869135 Agency: Department of Health Working Title: OPS GRANTS SPECIALIST III - 64916029 Pay Plan...
Responsibilities The Medical Billing Specialist is the lead responsible for the timely follow-up of Managed Care... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2...
events. For hospital occurrences, the UM Specialist will data enter the information from the hospital or extended care... Management. Qualifications: 2-3 of Utilization Management or Care Management experience in a managed care setting...
Managed Care Grid to release claims for participating providers appropriately and by payor contract standards. Works... interchange operations to ensure the quality and flow of all EDI transactions. The EDI Specialist is responsible for receiving...
Responsibilities The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2...
practices, hospitals, or managed care organizations preferred. Strong organizational and analytical skills.... What You Will Achieve The Gastroenterology Health & Science Sales Specialist is responsible for launching new products, deciding upon...
responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone.... Reviews managed care contracts. #LI-BM2 Qualifications: 1. Minimum of four years hospital managed care/commercial...
to access information under this program/contract. Security Clearance Type: None/Not Required Security Clearance Status... and Systems Transformation (PST) Team: RTX has an opening for a Principal Specialist - SAP Full Stack Developer (Principal...
responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone.... Reviews managed care contracts. #LI-BM2 Qualifications: 1. Minimum of four years hospital managed care/commercial...
. JOB DESCRIPTION: Senior Procurement Specialist Working at Abbott At Abbott, you can do work that matters, grow, and learn, care... strategies? Our St Paul, MN location is seeking an experienced Senior Procurement Specialist to own and elevate our direct...
operational, administrative, and audit execution support to the Managed Care Plan (MCP) audit program. This role supports the end.... We are looking to add an Audit Specialist to our SGS team of talented professionals. What you'll do: The MCP Audit Support Specialist provides...
's Degree preferred. Experience in managed care preferred. Two years of clinical experience in a health or human services...UPMC Community Care Behavioral Health is hiring full-time Quality Management Specialists! This position involves...
The Senior Contracting & Purchasing Specialist serves as project lead for assigned, complex projects, schedules... and complex contract actions in support of SAWS through Competitive Bids (“low bids”), Request for Quotes (RFQ), Best Value Bids...