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Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies.
$165,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Extensive hands-on experience working with large datasets using tools like AWS SageMaker, Python, R, and SQL. Strong knowledge of various pharmaceutical data sources, including patient claims data from IQVIA/SHA, sales force activity data, physician prescription data, and real-world evidence data such as MarketScan and Optum claims.
$215,000 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Associate's Degree required; Bachelor's degree or equivalent combination of education, training, and a minimum of 10 years of relevant healthcare industry experience in provider network management and value-based environments.
$161,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA Extensive knowledge of health care provider audit methods and provider payment methods, clinical aspects of patient care, medical terminology, and medical record/billing documentation Proven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes.
$170,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manage Social Security Disability (SSD) cases, assisting clients with the application and appeals processes, ensuring that claims are properly supported by documentation. In-depth knowledge of the New York Workers' Compensation process from start to finish, including claims, hearings, and appeals.
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The Behavioral Health Technician consults with Behavioral Health Provider (BHP) to monitor patient compliance, promote safety and patient engagement within an integrated and therapeutic care milieu.
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MedPro Healthcare Staffing is a Joint Commission certified provider of temporary and contract staffing services. MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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8 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
$115,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The position requires a provider to work 2-3 days per week with flexible hours within the clinic's open schedule of Monday through Friday, 9 AM to 7 PM. The provider will write notes and orders in IME, with other staff handling EMR entry.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Under the direction of a provider or RN, educates patient and family in health promotion and disease management usingavailable resources. Emergency room nurse, emergency nurse, ER nurse, ER RN, emergency room, trauma, trauma nurse, acute care nurse, registered nurse, RN, R.N., nursing, nurse, emergency, healthcare, health care, hospital.
$2,340 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work. Answers provider calls and assists with Casualty Department workload as necessary.
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MedPro Healthcare Staffing is seeking a travel nurse RN Oncology for a travel nursing job in Belleville, New Jersey. Key Words: Registered Nurse, RN, Oncology, Contract Nurse, Travel Nurse, Agency RN, Travel RN, Nursing, Contract.
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TRKKN is a full service provider for the Google Marketing Platform and Google Cloud with an interdisciplinary team of experts from the fields of Digital Analytics, Conversion Optimization, Ad Tech, Advanced Analytics & AI, Cloud Engineering and Tech & Data Strategy.
$180,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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About Agency MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services. Key Words: CT Technologist, CAT Scan Tech, Computerized Axial Tomography, CT Tech *Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
$2,470 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience architecting/operating solutions built on any cloud service provider like Azure, AWS, GCP, OCI, etc. Your customers will leverage state-of-the-art technologies on AWS to innovate and become the next global startup influencers like today’s Illumina, Novartis, Bristol-Myers Squibb, and Cerner.
$312,800 a yearFull-timeExpandApply NowActive JobUpdated Today
claims provider contracting jobs Company: Metroplus Health Plan in Newark, NJ
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