as needed. Collaborate with CommUnityCare's Epic Application Analyst Manager to plan for upgrades, special update packages, cutovers...
JOB SUMMARY: Senior Statutory Accountant is responsible for assisting in carrying out the responsibilities of the Controller. This includes assisting in the organization's monthly closing processes, statutory reporting requirements, recon...
JOB SUMMARY: Responsible for providing customer service support for behavioral health benefits, directing members to appropriate in network services, processing prior authorizations according to CMS and State regulations, sending out prov...
in those respective environments ï‚· Ensure all actions, job performance, personal conduct and communications represent CommUnityCare... and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures ï‚· Uphold and ensure compliance and attention...
in those respective environments ï‚· Ensure all actions, job performance, personal conduct and communications represent CommUnityCare... and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures ï‚· Uphold and ensure compliance and attention...
JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, ...
JOB SUMMARY: The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement initiatives. This po...
Ensures pharmacy billing process and related duties comply with 340B regulations, CommUnityCare Standard Operating Procedures... and CommUnityCare Policies and Procedures Participate in quality and compliance improvement activities such as the development...
JOB SUMMARY: Oversee all aspects of operations of the Pharmacy department including delivery of pharmacy benefits, network, administration, budgeting, reporting, and claims adjudication. Supervise all employees of the Pharmacy department....
The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures. Act...