Employment Type : Full-Time
Analyze scope and resolution of IBR Appeals Respond to Level one, two or higher appeals. Perform complex conceptual analyses. Identifies risk factors, comorbidities', and adverse events, to determine if overpayment or claim adjustment is needed.
Employment Type : Full-Time
Inbound Customer Service Agent-Bodewell (Remote) At GE Appliances, a Haier company, we come together to make "good things, for life." As the fastest-growing appliance company in the U.S., we're powered by creators, thinkers and makers who...
Employment Type : Full-Time
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed...
Employment Type : Full-Time
Analyze process workflow; implement operational changes in coordination with Director Perform the management of 1-2 Clinical Studies at a time. - Serve as the main contact and liaison for project specific client and communicates with investigative...
Employment Type : Full-Time
Business (Non-Clinical) The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals,...