admin (RN) Non-Premium Oncology Nurse Case Manager Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey. Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs. They will … Read more
Employer Industry: B2B Software Solutions Why Consider This Job Opportunity… • Salary up to $227,000 for the Sr. Lead Software Engineer position • Eligible for performance-based incentive compensation, including cash bonuses and long-term incentives • Comprehensive and competitive health, financial, and other benefits that support overall well-being • Opportunity to collaborate with top professionals in … Read more
Join Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare… To better serve our customers, we’re creating a culture that … Read more
Anticipated End Date: 2024-07-05 … Position Title: Provider Operations Manager- AmeriBen Job Description: Provider Operations Manager- AmeriBen Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Columbus, GA Elevance Health PulsePoint location. AmeriBen is a proud member of the Elevance Health family of … Read more
Anticipated End Date: 2024-07-08 … Position Title: Case Manager -LCSW/LSW/LMSW Job Description: Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The Case Manager- LCSW/LSW/LMSW (also called the LTSS Service Coordinator – Clinician) has overall responsibility for the member’s case, as required by the IN PathWays for Aging program, contributes … Read more
Are you interested in learning about healthcare professions and the latest healthcare innovations in the KC area? Become part of an organization that is dedicated to making a difference in both your career and community. Job Description Summary : The Medical Coding and Reimbursement Analyst researches, coordinates, analyzes, and provides coding expertise in the application … Read more
Anticipated End Date: 2024-09-04 … Position Title: Hospital Bill Audit/Appeal Lead Job Description: Hospital Bill Audit/Appeal Lead Supports the Carelon Payment Integrity line of business Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles from our Elevance Health Pulse Point locations. Carelon Payment Integrity is … Read more
Aetna is a well-known health insurance company that has been providing health care benefits to millions of people for many years. We are committed to helping people live healthier lives by providing them with the resources and support they need to make informed decisions about their health and well-being. Job Title: Remote Customer Service Representative … Read more
Resp & Qualifications PURPOSE… The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment concepts, as well as, validate all prospective and retrospective overpayment results; communicating findings to the Payment Integrity Workgroup and Management. The incumbent will … Read more
Center 1 (19052), United States of America, McLean, Virginia Senior Business Manager, Strategy (Remote – Eligible) This position is in the Strategy team of the newly formed SIBC&P (Software, International, Business Cards & Payments) division at Capital One. The candidate will work closely with leadership in each line of business to solve some of our … Read more