Responsibilities: Point of contact for providers regarding medical/behavioral/clinical services or benefits. Including (e-g notification, authorization). Extract and review fax requests for medical or clinical services requests. Receive...
Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG® screening criteria. Responsibilities: Manages appropriate cases that require medical necessity review such as h...
Position Purpose: Accounts payable processes accounts payable, commissions, computes, classifies, records, and verifies numerical data for use in maintaining accounting records by performing the following duties: Key Responsibilities: ...
GREAT PAY AND BENEFITS! AMAZING WORK LOCATION! NOT A REMOTE POSITION. Position Purpose: As a Certified Pharmacy Technician (CPT), the employee will be responsible for answering incoming calls from Providers and initiating any necessary ...
and oversight of the Quality Improvement Program, related work plans, quality activities, HEDIS, and STARS. This leader... and monitors corrective action plans required by regulatory agencies. Works closely with the medical staff, administration...
and prioritize tasks; work efficiently with minimal supervision. Experience in healthcare industry preferred...
Doctors HealthCare Plans is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator... supports the Healthcare Effectiveness Data and Information Set (HEDIS) annual medical record collection project by retrieving...
SQL statements. HealthCare experience a plus. Good communication skills. Note: This description indicates, in...
different managed care products, including all DHCP plans Improve coordination of patient care, reduce and remove cultural... and healthcare system barriers Promote timely treatment Empower and coach patients to become self-advocates Assist patients...
, etc.). Here's a few reasons why dentists love to work with us: Doctors have Autonomy in creating treatment plans while providing direct care... to their patients. Doctors report to Doctors. Instead of reporting to a practice owner, you will report to someone who understands the...