If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the
If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
About Lyra Lyra is transforming mental health care through technology with a human touch to help people feel emotionally healthy at work and at home. We work with industry leaders, such as Morgan Stanley, Uber, Amgen,
Summary We are currently hiring for an RN Behavioral Health Concierge Care Manager to join BlueCross BlueShield of South Carolina. In this role as an RN Behavioral Health Concierge Care Manager, you will provide care management
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,
Work Flexibility: Field-based As an Endoscopy OnSite Specialist, you will play an essential role in supporting surgical teams and ensuring that equipment, processes, and information flow smoothly to help drive exceptional patient care. What You Will
Job DetailsJob Location: FORT MILL Corporate Site - FORT MILL, SC 29708Customer Experience Consultant – Supervisor AT A GLANCE:Broad River Retail is currently seeking a Customer Experience Consultant Supervisor to join our Customer Experience Team in
Thank you for considering a career at Roper St. Francis Healthcare! Scheduled Weekly Hours:40 Work Shift:Days/Afternoons (United States of America) Work Shift: Monday - Friday, 8:00am - 5:00pm Work Location: Hybrid (3-days at Moncks Corner Medical
Revenue Integrity Specialist Inspire health. Serve with compassion. Be the difference. Advises departmental revenue owners and staff on proper usage of charge codes. Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work
Legion Health Psychiatrist Opportunity [We show compassion to heal minds.] About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance. We are seeking
Collaborating Psychiatrists (MD or DO) [We show compassion to heal minds.] Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance. We are seeking exceptional Collaborating
Paid Strategist Directive Consulting is the leading B2B marketing agency for companies that are done optimizing for metrics that dont move the business. With over a decade of expertise and 420+ B2B brands behind us, we
Paid Strategist Directive Consulting is the leading B2B marketing agency for companies that are done optimizing for metrics that dont move the business. With over a decade of expertise and 420+ B2B brands behind us, we
Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases