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
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
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 senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan
Certified Occupational Therapy Assistant (COTA) - Bilingual Spanish Remote All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through virtual, in-home, and clinic-based settings across California, Texas, and
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
Accounting Coordinator II - Remote The Accounting Coordinator II is responsible for performing a variety of tasks that require high level analytical skills (e.g. account reconciliations, preparing reports, etc.) as well as attention to detail (e.g. when entering
Occupational Therapist (OT) - Bilingual Spanish Remote All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through virtual, in-home, and clinic-based settings across California, Texas, and Nevada. We
Warehouse Solutions Design Manager (Remote) The Manager Solutions Design is responsible to support the growth of our Supply Chain Solutions & Dedicated Transportation Solution offerings by developing, designing and winning new business through: Designing solutions that
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
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: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts