Regional Payor Contracting Associate Fundamental Clinical & Operational Services, LLC is searching for an experienced Regional Payor Contracting Associate to focus on MCO and payor contracting for multiple client skilled nursing facilities and Behavioral Health Hospital located in
Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates members needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources
Job Description: At Sparklight and Cable One, we keep our customers and associates connected to what matters most. For our associates, that means: a thriving and rewarding career, respect for the communities where they live and work, a
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but weve been part of the national landscape for more than seven decades, with our roots firmly
Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review
Summary We are currently hiring for a Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as a Senior Medical Reviewer, you will act as Team Lead for specialty programs, medical review,
Become a part of our caring community The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for South Carolina Medicaid. The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to
Business Analyst - Clinical Analyst & Coding Specialist Sunshine Enterprise USA is retained by our valued client to search and recruit for the following executive opening: Business Analyst - Clinical Analyst & Coding Specialist Location: Fully
Denial Management Specialist The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. * Only applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana,