_*To be considered for this position, you must have at least 2 years of Health or Medicare Insurance sales experience and must have worked at least 2 Annual
This position is responsible for assuring accurate data is shared between the health plan, groups, and providers. Excellent PC and spreadsheet skills.
An active, Registered Nurse (RN) or Licensed Practical Nurse (LPN) license to practice as a health professional in a state or territory of the United States is
Experience in presenting data analytics, outcomes, and measures in health care is required. Five (5) or more years of related experience required, preferably
The Director, Supplemental Benefits creates the strategic vision and leads a team that drives cross-functional implementation across all health plan markets and
Facilitate linkage to appropriate community resources to address social determinants of health. Care Plan development and prioritization to transition members
Prior working experience at a health plan preferred. Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings
The Clinical Program Manager is responsible for the development and continuous improvement of the programs and service bundles delivered by clinical services.
An active, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license to practice as a health professional in a state or territory of the
Four (4+) years of health insurance and/ or equivalent experience in management consulting or operations required.
This position is responsible for day-to-day administrative, general office, and front desk duties including word processing, filing, faxing, and data entry.
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; up to 21 days of PTO, 10 paid holidays
Processes and Adjudicates Facility UB04 and Professional CMS 1500 claims by all claims policies, and contracts, keeping in compliance with industry regulations
Skills in health information management by appropriately charting the patient's medical information in the EHR. The inspections may include but not limited to:
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