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Medusind
The Credentialing & Enrollment Specialist is responsible for managing the credentialing processes for clinical providers and ensuring compliance with health plan requirements.
N.C.H
Nantucket Cottage Hospital
The Patient Services Coordinator provides essential administrative support to enhance patient care in a healthcare setting.
Guidehealth
Join Guidehealth as a Remote Contractual Compliance Coordinator, ensuring compliance in managed care and claims processing.
Centene Management Company
Join Centene as a Communications & Videography Intern to gain hands-on experience in the Managed Care industry while working remotely.
HealthAxis Group
Join HealthAxis as a Part-Time, Temporary Concurrent Review Nurse, focusing on medical necessity reviews and customer service.
M.T.A
Molina Talent Acquisition
The Sr. Specialist oversees clinical quality member intervention initiatives, ensuring compliance and supporting continuous improvement.
M.T.A
Molina Talent Acquisition
The Senior Analyst, Risk & Quality Reporting will design and develop health plan reports while supporting initiatives in risk and quality management.
M.T.H.P
MI_TSLCPC Trinity Health Pace
MediGold is seeking a full-time Reconciliation Analyst to manage enrollment and financial reconciliation processes for Medicare beneficiaries.
Medical Review Institute of America
The Senior Credentialing Specialist is responsible for overseeing the credentialing process for healthcare providers in a remote work environment.
Highmark
Highmark
The Medical Case Manager coordinates healthcare services for members with complex medical and psychosocial needs, ensuring access to quality care.
B.H
Banner Health
The Director of Risk Adjustment will lead initiatives to enhance healthcare strategies through collaboration and analytics in a primarily remote role.
Wellpartner
The Appeals Nurse Consultant at CVS Health processes Medicare appeals and requires clinical experience and RN licensure.
M.T.H.P
MI_TSLCPC Trinity Health Pace
The Market Manager - Network Development is responsible for leading provider network strategy and contract negotiations in a fully remote role.
Guidehealth
The Client Business Manager at Guidehealth supports client success through onboarding and operational support in a fully remote role.
C.W.U.I.S.L
CP00001 Washington University in St Louis
The Pre-Certification Coordinator ensures efficient medical service processing and reimbursement through effective communication with insurance providers.