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Confidential
A company is looking for a HC and Insurance Operations Analyst. Key Responsibilities: Manage the entire claims process from intake to final decision Provide frequent status updates to claimants through their preferred communication channels...
Confidential
A company is looking for a BPO HC and Insurance Operations Analyst. Key Responsibilities: Manage the entire claims process from intake to final decision Provide frequent status updates to claimants through their preferred communication...
Confidential
A company is looking for a BPO HC and Insurance Operations Analyst. Key Responsibilities: Manage the entire claims process from intake to final decision Provide frequent updates to claimants through their preferred communication channels...
Confidential
A company is looking for a HC and Insurance Operations Analyst. Key Responsibilities: End-to-End Claim Management: Handle every aspect of the claim process, from intake to final decision Status Updates: Provide frequent updates to claimants...
Confidential
A company is looking for a Care Connector, Medicare. Key Responsibilities Provide program interventions and screen identified Members based on health management program guidelines Assist Members in accessing care and community resources, and...
Confidential
A company is looking for an RN Quality Improvement Coordinator. Key Responsibilities Develops and implements the annual Quality Improvement Program in collaboration with the Medical Director and PACE Program Director Coordinates quality...
Confidential
A company is looking for a Utilization Management Technician for weekends and off hours, working remotely. Key Responsibilities Coordinate, generate, and track incoming and outgoing correspondence, faxes, and authorizations related to...
Confidential
A company is looking for a Proposal Manager to oversee the RFP process and coordinate proposal submissions. Key Responsibilities Manage the proposal process from initial review to final submission Maintain an RFP answer database and develop RFP...
Confidential
A company is looking for a Hebrew US Based TI/VI Interpreter. Key Responsibilities Handle calls on demand and communicate effectively between non-English and English speakers Conduct intake and pre-session scripting for each client while...
Confidential
A company is looking for an RN Specialist Complex Case Manager. Key Responsibilities: Engage with members, families, and providers to manage complex medical cases and develop comprehensive care plans Conduct clinical assessments and collaborate...
Confidential
A company is looking for a Software Support Specialist to provide technical support for web cloud software and mobile applications. Key Responsibilities: Provide technical support via phone and email for web cloud and mobile applications Assist...
Confidential
A company is looking for a Utilization Management Nurse (MLTC Focus) to perform clinical reviews for Managed Long-Term Care members. Key Responsibilities Conduct standard and expedited UM clinical reviews for inpatient, outpatient, and custodial...
Confidential
A company is looking for a Proposal Specialist to support the regional RFP process. Key Responsibilities Provide support to the sales and marketing process by responding to formal requests for proposal (RFPs) and related requests for information...
