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Job Description Job Summary The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. Th...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and...
JOB DESCRIPTION Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most app...
JOB DESCRIPTION Job Summary Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional leadership engagement, sustai...
Department Name: Revenue Integrity-Corp Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $23.16 - $34.74 / hour, based on location, education, & experience. In accordance with State Pay Transparency R...
Administrative Assistant I Brownville, NE, US, 68321-0098 Nebraska Public Power District (NPPD) has an immediate opening for a Administrative Assistant I located at Cooper Nuclear Station in Brownville , Nebraska. Positi...
JOB DESCRIPTION Job Summary Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable pr...
Caregility (caregility.com) is a telehealth solution provider connecting care everywhere. Designated as the Best in KLAS Virtual Care Platform (non-EMR) in 2021, 2022, and 2023, Caregility Cloud brings bedside care, virt...
Caregility (caregility.com) is a telehealth solution provider connecting care everywhere. Designated as the Best in KLAS Virtual Care Platform (non-EMR) in 2021, 2022, and 2023, Caregility Cloud brings bedside care, virt...
JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vu...

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