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  1. The nurse will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and...
    Marketplace User ·1 day ago on LocalHelpWanted
  2. _**_** * **_**_Coordinates, tracks, notifies and assists members with EPSDT, immunization services and any special programs._**_** * **...
    Marketplace User ·1 day ago on LocalHelpWanted
  3. Responsible for development and implementation of compliance plan and coordination of fraud, waste and abuse (FWA) prevention, detection,...
    Marketplace User ·3 days ago on LocalHelpWanted
  4. Job Related Experience and Skills: * Full-time experience as an administrator in a Medicare or state-level Medicaid program, Health Main...
    Marketplace User ·3 days ago on LocalHelpWanted
  5. * Makes appropriate inquiries to determine potential coordination of benefits and advises appropriate provider and claims staff of same. ...
    Marketplace User ·3 days ago on LocalHelpWanted
  6. This position is responsible for various planning and financially related projects. The duties include but are not limited to budgeting, ...
    Marketplace User ·6 days ago on JobCentral
  7. Under the supervision of the Supervisor, Facilities, the Receptionist position is part of a front desk team providing administrative supp...
    Marketplace User ·6 days ago on JobCentral
  8. Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using cli...
    Marketplace User ·6 days ago on JobCentral
  9. This position is responsible for managing the day-to-day activities of the Provider Network Operations department and staff. Responsible ...
    Marketplace User ·1 week ago on JobCentral
  10. Coordinates system configuration changes, including tables, options, rules, and assessments and oversees system testing to make sure syst...
    Marketplace User ·1 week ago on LocalHelpWanted
  11. Under the supervision of the Supervisor ICM, the Care Manager II assists members appropriate with appropriate care coordination and case ...
    Marketplace User ·1 week ago on JobCentral
  12. ** * **Adheres to AmeriHealth Caritas FoC Policies and Procedures, proces standards, Standard Operating Procedures and maintains current...
    Marketplace User ·1 week ago on LocalHelpWanted
  13. Under the direction of the Manager, DAP the Coordinator (DAP) will assist the Manager in the administration of AmeriHealth’s Disability A...
    Marketplace User ·3 weeks ago on JobCentral
  14. **_**_The Multilingual Customer Service Representative assists both our English and Spanish speaking members and their families in access...
    Marketplace User ·3 weeks ago on JobCentral
  15. Responsible for addressing provider issues and maintaining the provider tracking databases. In addition, the Network Coordinator supports...
    Marketplace User ·Over 4 weeks ago on JobCentral
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