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Insurance Jobs

17 Jobs Found

Job Summary: Our PC Support Analyst II will provide complete administration of mobile devices; setup, configuration, tuning, tracking, troubleshooting, operating systems and application support for mobile device specific applications (s......

Job Summary: Our Cost Report Auditor I primary purpose is to complete provider Medicare cost report desk reviews to adhere to CMS requirements to ensure accurate reporting of statistical and financial data; contribute to the accurate an......

Job Summary: Responsible for the direction and oversight of the Medical Management team for the Utilization and Case Management activities for Arise membership. Ensures that all processes are compliant with National Committee for Quali......

Job Summary: The Pharmacy Coordinator will have three primary duties: •Develop, implement, and execute audit processes to ensure WPS’ Part D product adheres to CMS requirements including oversight of delegated duties to our Pharmacy Ben......

Job Summary Responsible for developing and performing audits for Billing & Enrollment, Provider Development and Claims Operational Departments. Audit data is compiled, assessed and analyzed for accuracy and trends. Responsible for repor......

Job Summary: Our Quality Improvement Specialist will support the creation, execution and maintenance of the health plan’s quality program and National Committee for Healthcare Quality Assurance (NCQA) accreditation. This role will serve......

Job Summary: Our Medical Review Nurse Analyst will assist in identifying aberrant billing patterns, reviewing medical documentation to assure that the billing providers are billing appropriately and being paid appropriately for the serv......

Conduct ergonomic evaluations of workstations to ensure that individuals are seated and working properly. Work with department heads to coordinate and plan departmental moves. Coordinate furniture repairs and requests. Update floor plans on AutoCAD ......

These 2 openings will be filled as either a Client Systems Analyst I or II which will be based on the candidate's experience and skillset. Job Summary: Our Client Systems Analyst is responsible for ensuring that new......

Job Summary: Our Sr. Applications Developer will analyze, design, create, document and support all interfaces (batch and interactive) pertinent to the processing of claims, billings, payments, letters, ID cards, Member Guides, reimburse......