and provider relations Responsibilities: Comprehensively review and evaluate appeal and grievance requests to identify... and classify member and provider appeals. Determine eligibility, benefits, and prior activity related to the claims, payment...
and provider relations Responsibilities: Comprehensively review and evaluate appeal and grievance requests to identify... and classify member and provider appeals. Determine eligibility, benefits, and prior activity related to the claims, payment...
Internet Solutions portfolio including Direct, Indirect, Partner and Managed Service Provider Bundled Services. This includes... have fulfilled responsibilities to bring new customers onboard. Research business information about prospects. Contract and sales...
and provider relations Responsibilities: Comprehensively review and evaluate appeal and grievance requests to identify... and classify member and provider appeals. Determine eligibility, benefits, and prior activity related to the claims, payment...
and Writing Skills are a must. Working experience in a Managed Services Provider is a plus BS/BA in Computer Science... executed agency agreement contract for service to submit resumes....
completion of member and provider correspondence and verbal outreach according to departmental guidelines. Enter and maintain... to identified members who need a primary care provider or who may have gaps in care related to recommended tests or provider visits...
and maintain RFP’s, bid information, and other contract documents. Set up, maintain, and organize department’s central files... without regular direct supervision. Must be a provider of excellent customer service Performs other duties...
to perform individual enrollment duties. Refer all existing members up for recertification to Retention Specialist when... Physician (PCP) using the provider directory. Present EmblemHealth insurance products and benefit plans to community groups...
Job Title: Nurse Case Manager - Michigan Job Location: New York, NY, USA Job Location Type: Remote Job Contract... logistical support for patient to receive therapy and manage their disease Collaborate with argenx Patient Access Specialist...
Level: Consultant Contract type: Temporary Appointment Closing date: 10 Mar 2025 11:59 PM (America/New_York) Duty..., among others; (2) available information on regulations, platform/service provider policies, and guidelines that support the prevention...
with Serious Mental Illness across NYC. Additionally, the Office is responsible for managing a contract portfolio of community based... performance is monitored through data collection and analysis, ongoing site visits and program provider meetings. The Office...
IS ONLY OPEN TO CANDIDATES WHO ARE PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF ADMINISTRATIVE CONTRACT SPECIALIST... Consulting works collaboratively with other ACS divisions and Contract provider agencies to identify and timely refer families...
of our client, a highly regarded hotel in Manhattan, New York! This is a full-time, on-site, contract opportunity with benefits... recruitment and staffing specialist for nonprofit organizations, foundations, associations, and educational institutions...
Job Category: Health Care Description SUMMARY: The Certified Diabetes Care and Education Specialist, in collaboration... with medication adjustments to achieve optimal glycemic control in direct correspondence with the primary care provider...
Diabetes Care and Education Specialist, in collaboration with the multidisciplinary team and in accordance with approved... primary care provider, and/or endocrinologist. Identifies available community resources helpful to patients, refers...
Specialist, in collaboration with the multidisciplinary team and in accordance with approved protocols, provides high quality... provider, and/or endocrinologist. Identifies available community resources helpful to patients, refers and assists patients...
Job Category: Health Care Description SUMMARY: The Certified Diabetes Care and Education Specialist, in collaboration... with medication adjustments to achieve optimal glycemic control in direct correspondence with the primary care provider...
, and recommendations to management. Review reporting for outlier provider claims; request patient medical records to assign diagnoses... direct education to the business and provider offices as needed to facilitate an understanding of correct claim coding, use...
Clinical Pathologist – Relocate to New Zealand Location: Auckland or Dunedin, New Zealand Contract Type: Full-Time... Pathologist seeking a fresh start in a breathtaking location? This is your chance to join New Zealand’s leading provider...
a Carbon Markets specialist. We are looking for a suitable candidate to join our New York office. As a Client Consultant..., you will be part of a team recognized as a leading provider of Sustainability and Climate research to institutional investors globally...