with business objectives. Lead the creation, negotiation, execution, and review of major Facilities Category contracts. Ensure... across the organization. Monitor compliance with *** Procurement policies, standards, and procedures within the Facilities...
successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment...: Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed. Contacting insurance...
. This position requires strong organizational skills, attention to detail, and an understanding of managed care processes... eligibility and benefits to support care coordination efforts. 8.Maintain understanding of managed care principles, risk...
and is located in Plano, TX (Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID: 26...-01892 Pay Range: $60 - $68/hour. Employee benefits include, but are not limited to, health insurance (medical, dental...
is required, as only U.S. citizens are eligible for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed..., Computers, and Intelligence and Autonomy) organization, including Program Management, Engineering, Finance, Contracts...
stability, growth, and the chance to make an impact in a patient-centered healthcare organization. Why YouÂ’ll Love... in insurance verification, billing, medical administration, and office operations. What an Authorization Specialist Does...
Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review... ReviewMedical Director to discuss quality of care and credentialing and state licensure issues. Maintain proper...
that all contracted work is developed, implemented, installed and managed in accordance with the Company’s requirements, including... successful job completion;ensure productivity, job completion and compliance to project budget. The General Superintendent will review...
;Typically has the following skills or abilities: Evaluates clinical service requests made by an organization's members... and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide...
primary role is to work closely with the larger Customer Service / Field Service Organization Center of Excellence... affects the Service Organization. Work with existing SFDC Architects to implement SFDC Service functionality. Interface...