SUMMARY STATEMENT The Provider Audit and Reimbursement Senior Auditor utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, inte...
Sentara Health Plan is currently hiring anRisk Adjustment Coderfor Optima Health!This is a Full Time position with day shift hours and great benefits!Candidates may work remotely in VA, NC, WA, NV , FL, IN, SD and WY.Job Requirements:Associate's Level Degree - Experience in lieu of education: YesReq...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us an...
Primary City/State:Sun City, ArizonaDepartment Name:Regulatory Readiness-CorpWork Shift:DayJob Category:Risk, Quality and SafetyGreat careers are built at Banner Health. There's more to health care than doctors and nurses. We support all staff members as they find the path that's right for them. App...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
Job Description:The Provider Enrollment Advisor will support the Provider Enrollment Manager and team for Nevada Medicaid. This person will guide the team to desired outcomes ensuring Gainwell is meeting Federal, State and Agency guidelines and achieving service level agreements while supporting tea...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
Overview : The Claims Administration Manager will be responsible for the overall operational leadership of the claims organization as well as maintaining CMS compliance. This role will also play an active role in the establishment of the organization, working closely with project teams responsi...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
Job Grade M11 SUMMARY STATEMENT As a Supervisor of Service Operations , you will provide leadership, management instruction and coaching to professional nonexempt team members related to Service Operation’s. You will provide an understanding and support operational policies & Procedures. You wi...
Sentara Health Plans is currently hiring aSr Business Analystfor Virginia Premier!This is a Full Time position with day shift hours and great benefits!Position is located in Glen Allen, VA.Job Requirements:Education: Bachelor's Level Degree; Master's degree preferredRequired: Analytics - 3 years, He...
Position Overview: The person hired for this role has the option to work from home and must come on site as needed for meetings, etc. The hub for this role is Roseville.The Compliance Officer administers the Sutter Health Ethics and Compliance Program at by implementing systems and processes d...
SUMMARY STATEMENT: This position is responsible for the integrity of the Medicare Part A and or B Provider files. This position will review applications and ensure compliance with CMS regulations and internal procedures and protocols. ESSENTIAL DUTIES & RESPONSIBILITIES: • Process submitt...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
Description:Join e-TeleQuote Insurance and be part of a rewarding career in the Health Insurance industry!At e-TeleQuote, we're more than just a company we're a community united by our core values of innovation, accountability, excellence, integrity, transparency, compassion, and diversity.We strive...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
If you are located within Pacific, Mountain, Central or Hawaii Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. W...
Fortune 5. An acknowledged global leader in the rapidly evolving health care system. A company known for bold, innovative ideas and innovation. What's not to love? Now, check out this opportunity to lead an elite actuarial team. As Manager of Healthcare Economics at UnitedHealth Group, you will ove...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us an...
Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Capital Care Coordination you can be a part of an organization that is devoted to giving back!***Must be located in the Richmond, VA area to vis...
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) You'll enjoy the flexibility to tel...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and...
PRINCIPAL DUTIES AND RESPONSIBILITIES: Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Oversee the ongoing accounts receivable activities within the ass...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us an...
Description: Join e-TeleQuote Insurance and be part of a rewarding career in the Health Insurance industry! At e-TeleQuote, we're more than just a company - we're a community united by our core values of innovation, accountability, excellence, integrity, transparency, compassion, and diversity. We s...
If you are located within Pacific, Mountain, Central or Hawaii Time Zone, you will have the flexibility to telecommute *** (work from home) as you take on some tough challenges.**Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health car...
If you are located within Pacific, Mountain, Central or Hawaii Time Zone, you will have the flexibility to telecommute *** (work from home) as you take on some tough challenges.**Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health car...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and...
Come join the true partner of global healthcare companies who builds transformational solutions by challenging the boundaries of commercialization strategies to improve the lives of patients. Senior Manager, Payor-Contract Operations & Pricing-Reimbursement and Government Contracts-Remote-ANY...
Come join the true partner of global healthcare companies who builds transformational solutions by challenging the boundaries of commercialization strategies to improve the lives of patients. Senior Manager, Payor-Contract Operations & Pricing-Reimbursement and Government Contracts-Remote-ANY...
Description Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Capital Care Coordination you can be a part of an organization that is devoted to giving back! ***Must be located in the Richmond, VA area to v...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) You'll enjoy the flexibility to tel...
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) You'll enjoy the flexibility to tel...
Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) You'll enjoy the flexibility to tel...
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Manager of Case Management is ...
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) Positions in this function are responsible for the development and/or on-going managem...
Description:Join e-TeleQuote Insurance and be part of a rewarding career in the Health Insurance industry! At e-TeleQuote, we're more than just a company we're a community united by our core values of innovation, accountability, excellence, integrity, transparency, compassion, and diversity. We stri...
Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, inspires thought leadership, and helps us build better solutions for people. We want someone who thrives in this setting and is insp...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...
OverviewCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. resid...
Are you looking to excel in your next career? Are you a game changer? Do you enjoy research and customer service? If you do, this opportunity is for you! As a Provider Services Advocate you will be responding by telephone to the Dr. Offices and Hospitals, who are currently authorized to work with ...
Sandata Technologies is the leading supplier of technology solutions for the national Homecare industry. Sandata is uniquely positioned as a software technology vendor serving both Payers and Providers in this growing segment of the healthcare market. Sandata’s solutions provide a strong Value Prop...
Medicare agents - sell Medicare Advantage, Medicare Supplement and PDP from home this AEP! Assurance is looking for licensed and experienced insurance sales agents to help Medicare beneficiaries find the plan that is right for them.As an Independent Medicare Agent, you will have the opportunity to h...