Reimbursement Specialist The Reimbursement Specialist is an entry level role responsible for early-stage follow-up on Workers Compensation claims. This includes verifying claim status, resubmitting original bills, initiating basic appeals, and updating documentation. While you will not
Healthcare Call Center Representative Its fun to work in a company where people truly BELIEVE in what they are doing! Were committed to bringing passion and customer focus to the business. Location: Remote (Virtual Environment) Company:
Leave Specialist - Remote Manage full cycle leave of absence cases via ServiceNow for all of the United States plus Canada. Case load average is 150+ cases and the specialist handles the case from intake to
Senior Manager Transportation Solutions Design (Remote) Lead Solutions Design Engineers are responsible to support the growth of our Supply Chain Solutions & Dedicated Transportation Solution offerings by developing, designing and winning new business through: Designing solutions
Job Description Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care strategies, and operational direction for risk adjustment and quality
Job Description Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach emphasizing physician engagement and behavior change through actionable
Job Description Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasizing physician engagement and behavior change through actionable data and
Construction Project Management Corporate Fellowship - Hiring Our Heroes - REMOTE Hiring Our Heroes Fellowship Opportunities available for Cohort 26.3 (September 8th, 2026 November 19, 2026) for our Supply Chain Solutions division. This opportunity is only
Clinical Pharmacist, Pharmacy Outreach The Clinical Pharmacist, Pharmacy Outreach is responsible for optimizing patient outcomes through telephonic interventions. This role focuses on the tactical execution of medication management services, including polypharmacy, adherence, and pharmacotherapy optimization. Candidates should
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation from
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents, reports,
Essential Duties and Responsibilities: - Provide support and assistance to contracts department staff by providing administrative support services as required, including proofreading, copying, filing, mail, facsimile transmittal, answering and disseminating incoming calls and messages. - Assist in
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
Velvet Horizons operates as a fully remote service provider focused on coordinating customized client arrangements. We prioritize efficiency, organization, and consistent service delivery across all client interactions. Role Overview: The Scheduling Specialist supports clients by organizing logistics, coordinating
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation from
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation from
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are basic and routine. - Uses computerized system
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are basic and routine. - Uses computerized system
Essential Duties and Responsibilities: - Answer general inbound calls and place outbound calls with the goal of increasing business, customer satisfaction, and customer retention. - Follow basic procedures and scripts, using fundamental knowledge of company and