Medical Claims Resolution Analyst - Remote Montana Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your
Medical Claims Resolution Analyst - Remote US Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your
Description Providence is calling for Senior Paralegal - Legal - Remote This position will provide professional legal support to the Department of Legal Affairs (DLA) attorneys generally and/or in a specific practice area or across practice
Essential Duties and Responsibilities: - Responsible for directing all quality operations including planning, implementation monitoring and reporting functions. - Develop and oversee an effective management system to continuously identify opportunities for improvement while maintaining adherence to contract
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
Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within Medicare
Essential Duties and Responsibilities: - Manage day-to-day operational aspects of a project and scope including facilitating and preparing all planning activities and artifacts. - Oversee and manage large multi-project programs including planning, organizing, staffing, leading, and
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