**Job Description****Job Summary**Researches and documents Medicaid and Medicare Advantage denial determinations for reconsiderations/appeals in a thorough, professional and expedient manner. May include evaluation for medical necessity and...
The Patient Navigators perform case management supporting patient access to therapy in accordance with the program business rules. This position is responsible for guiding the patient and healthcare provider through the various process steps of their...
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based...
HR CoordinatorDescription:**Position Title:**HR Coordinator**Pay Rate** :$60,000 - $68,000_Multiple factors, including Individual experience, skills and abilities will determine where an employee is ultimately placed in the pay...
Overview Since our founding in 1924, we've cut cardiovascular disease deaths in half, but there is still so much more to do. To overcome today's biggest health challenges and accelerate this progress, we need passionate individuals like you.
Position Title:HR CoordinatorPay Rate:$60,000 - $68,000Multiple factors, including Individual experience, skills and abilities will determine where an employee is ultimately placed in the pay range.Category/Shift:Salaried Full-TimePhysical...
Call Center Rep Work From Home American Income Life (part of Globe Life, a NASDAQ traded company) is looking for Benefit Representatives to help manage growing client needs and help provide both new and existing clients with the best...
U.S. Customs and Border Protection (CBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission to...
Summary of PositionWe are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State,...
U.S. Customs and Border Protection (CBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission to...