(comprehensive, writing and verbal) "MCSHealthcareHoldings, LLC. (MCS) is an Equal Employment Opportunity Employer... to sell and/or renew MCS Advantage's line of business products to potential clients or beneficiaries (as applicable...
-service or post-service appeals received through various sources for both Line of Business, MCS Life, and MCS Classicare...
Tecnico(a) de Alcance Comunitario Regular Exempt GENERAL DESCRIPTION: The Community Outreach Technician provides administrative support within the case management process for addressing the non-clinical needs of policyholders referr...
-service or post-service appeals received through various sources for both Line of Business, MCS Life, and MCS Classicare...
Tecnico(a) de Alcance Comunitario Regular Exempt GENERAL DESCRIPTION: The Community Outreach Technician provides administrative support within the case management process for addressing the non-clinical needs of policyholders referr...
support and contracting, preferably in the Healthcare Industry. OR Education and Experience: Associate's Degree...) year of experience with similar tasks, such as providers' operational support and contracting, preferably in the Healthcare...
Oficinista de Eficiencia del Programa de Valor al Afiliado Regular Non-Exempt GENERAL DESCRIPTION: The Beneficiary Value Program Efficiency Clerk is responsible for the accurate classification, registration, and monitoring of operat...
of previous experience with similar tasks, such as providers' operational support and contracting, preferably in the Healthcare...' operational support and contracting, preferably in the Healthcare Industry. "Proven experience may be replaced by previously...
Tecnico(a) De Farmacia/Star Regular Non-Exempt GENERAL DESCRIPTION: Oversees interventions and/or calls to clients (beneficiaries, providers, pharmacies) to promote the correct use of medications and follow the prescription to incre...
, evaluates, and performs a thorough clinical analysis of pre-service requests and reconsiderations (appeals) received at MCS... and clinical judgment to assess clinical guidelines, including InterQual, MCS Medical Policies, and Medicare Local Coverage...