physician leadership to support market strategy, implementation, and operations of value-based care (VBC) programs... and initiatives. This position shall coordinate across the Plan and broadly across HCSC to develop effective population health...
/ procedures, compliance regulations in health care administration/managed care experience. Are you being referred...
health care industry. *Knowledge of contract benefits, claim processing, and inquiry procedures, system logic or the...
and balancing techniques, acceptable accounting/audit controls, and managed care contracts. Knowledge of the health care industry... accountings, or managed care experience OR 9 years of Medicare audit, hospital accountings, or managed care experience. 1 year...
location. JOB REQUIREMENTS: High school diploma OR GED. 6 months customer service experience OR 6 months experience in... JOB REQUIREMENTS: 9 months customer service experience. Experience working with various lines of business, i.e. CDHP, Medicare...
remotely. JOB REQUIREMENTS: Bachelor’s Degree AND 1 year of experience in health insurance/health care field in a service... a marketing service representative role OR 5 years of experience in sales/marketing or health care management/claims/provider...
days per week remotely. Required Job Qualifications: 2 years of work experience as a health care management Marketing... Service Representative OR 5 years of experience in combination of sales / marketing / health insurance experience involving...
training. Manage third party Talent Acquisition partners and facilitate interactions on key performance indicators, service...
requirements experience in health insurance operational functions or relevant experience Knowledge of and experience in payer..., BlueChip, ITS) Know how the different BCBS organization interact (Network, HCM, Customer Service, etc.) Understanding...
and URAC standards. Knowledge of state and federal health care and health operations regulations. *CA #LI-TELECOMMUTE... For Facilitating Member And Provider Appeals; Working Closely With Full Service Unit (Fsu), Provider Telecommunication Center (Ptc...