HEDIS Quality Reviewer

with established documentation standards for Metro Plus Health Plan ensure integrity of member services provided over the continuum... EMR systems, e.g. EPIC, Quadramed. Proficient in Microsoft Office applications including Word, Excel, PowerPoint...

Lugar: New York City, NY | 24/12/2025 03:12:01 AM | Salario: S/. No Especificado | Empresa: Apidel Technologies

Long Term Care Claims Representative – Payment Servicing

allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the... requirements. Proficient with Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint, Teams, etc.) Professional...

Lugar: Richmond, VA | 24/12/2025 03:12:49 AM | Salario: S/. $43200 - 66400 per year | Empresa: Genworth

Clinical Reviewer, Behavioral Health

, reduce administrative cost, ensure clinically appropriate delivery of benefit covered services, and support department... clinical criteria sets. Concurrent review of Behavior Health Services Identification and determination of benefit coverage...

Lugar: USA | 24/12/2025 03:12:49 AM | Salario: S/. $76114.6 - 114171.9 per year | Empresa: Point32Health