JOB OVERVIEW: This position is responsible for managing all B2B sales activities within a specific territory. This requires regular consultative contact with every account in a designated territory to grow merchandise, equipment, and service sales with
JOB DESCRIPTION This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as
Senior Claims Representative Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, youll manage high-exposure
divh2Claims Quality Analyst | Remote/h2pJob Type: Full time/ppWork Setup: Remote/ppReports to: Claims Supervisor/ppPosition Summary:/ppThe Claims Quality Analyst plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The
Job Description Job Summary Will require to be infield twice a week subject to change Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
