Become a part of our caring community The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing Home Health, SNF, DME, dual Medicare/Medicaid requests. The Medical Director reviews and determines whether healthcare
What The Role Is: In this Remote Customer Service/Sales Representative role, you will be a Retention Specialist whose role is to retain a customer who wants to cancel their ADT services. You will play a key
Become a part of our caring community The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the
Symetra has an exciting opportunity to join our Life Underwriting Department as a Senior Life Underwriting Consultant for our Large Case and High-Net-Worth Foreign National Team. About the role At Symetra, we believe in empowering people
Who We Are Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are
Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We
Symetra has an exciting opportunity to join our team as an Associate Implementation Manager! About the role In this role, you implement employer groups that are generally under 500 lives for Life, AD&D, Disability, Absence Management
Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The
Become a part of our caring community The Lead Network Architect designs and develops IT infrastructure architecture solutions to business problems in alignment with the enterprise architecture direction and standards. The Lead Network Architect works on
Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We
Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We
Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We
Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We
Become a part of our caring community The Senior Full Stack Engineer – Platform & Architecture is a hands-on senior engineer role with broad scope across the full stack (user experience, front-end, APIs/services, integrations, database, and
Symetra has an exciting opportunity to join our growing team as a Stop loss Claims Operations Analyst! About the role Responsible for Operations functions involving new and in-force Products. Maintains a high degree of initiative and
Become a part of our caring community The Supplemental Benefits Operations (SBO) team within Humana’s Enterprise Growth organization manages Medicare Mandatory Supplemental Benefits (MSBs) that meaningfully shape member experience, operational performance, and regulatory outcomes. This role
Become a part of our caring community The Lead Data Engineer is responsible for leading the modernization, optimization, and stabilization of the Wisconsin Medicaid Markets data platform ecosystem across two independent health plan technology stacks. This
Symetra has an exciting opportunity to join our growing team as a Supplemental Health Claims Examiner! About the role The Claims Examiner is responsible for accurate and timely adjudication of complex professional, facility, and ancillary claims.
Become a part of our caring community The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works
Become a part of our caring community As a remote Telephonic Care Manager, you will report to a Manager of Care Management. You will be providing a comprehensive, whole person care approach for Disease Management (DM)