| Job Title / Description
( show titles only )
| Company | Location
(Distance) | Posted |
Manager Financial Reporting -
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Job type: Full-Time
Responsible for managing the financial reporting functions for existing and new business and facilitating the implementation of new business. The...
| | PA - Philadelphia
| 1 Week Ago |
Contract Support Analyst -
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Job type: Full-Time
Administrating Functions as centralized point of contact and administrator of contracts and requisitions within EO; the “go to" Ensures necessary...
| | PA - Philadelphia
| 2 Weeks Ago |
Medical Informatics Analyst -
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Job type: Full-Time
Medical Economics/Informatics Analyst with strong understanding of Medical Claims (inpatient/outpatient) billing activity. Candidates must possess the...
| | PA - Philadelphia
| 2 Weeks Ago |
Medicare Enrollment Manager -
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Job type: Full-Time
The primary purpose is two fold: Manage Enrollment operational oversight of enrollment vendor related to CMS requirements; and, to build an in-house...
| | PA - Philadelphia
| 2 Weeks Ago |
Healthcare Claims Manager -
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Job type: Full-Time
Position Summary: Under the general direction of the Director of Claims, the Manager of Claims is responsible for the coordination of all operational...
| | PA - Philadelphia
| 2 Weeks Ago |
Healthcare Financial Analyst Needed! -
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Job type: Full-Time
The primary purpose of the job is to : This position will support the Risk Adjustment team to ensure accurate HCC risk scores which impacts Medicare...
| | PA - Philadelphia
| 3 Weeks Ago |
Provider Network Executive (Director level) -
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Job type: Full-Time
This position is responsible for negotiating provider contracts including hospitals, Integrated Delivery Systems and large physician organizations....
| | PA - Philadelphia
| 3 Weeks Ago |
Medicare Advantage Risk Adjustment Analyst -
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Job type: Full-Time
The primary purpose of the job is to : This position will support the Risk Adjustment team to ensure accurate HCC risk scores which impacts Medicare...
| | PA - Philadelphia
| 3 Weeks Ago |
Risk Adjustment Specialist -
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Job type: Full-Time
Under the supervision of the Risk Adjustment Supervisor and in support of maximizing risk adjustment revenue from, the Risk Adjustment Review...
| | PA - Harrisburg
| 3 Weeks Ago |
Director of Integrated Care Management -
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Job type: Full-Time
AmeriHealth District of Columbia is currently searching for a dynamic and experience Director of Integrated Care Management to support our new line of...
| | DC - Washington
| 3 Weeks Ago |
Manager, Clinical Community Projects/EPSDT -
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Job type: Full-Time
AmeriHealth District of Columbia has a an exciting opportunity for a motivated and community-minded nurse. We are currently seeking a Manager,...
| | DC - Washington
| 3 Weeks Ago |
Utilization Review RN -
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Job type: Full-Time
AmeriHealth/Keystone First has an excellent opportunity for an individual to join our leading health insurance organization. The Clinical Care...
| | PA - Philadelphia
| 3 Weeks Ago |
Care Manager, Rapid Response -
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Job type: Full-Time
Under the supervision of the Supervisor, Rapid Response, the Rapid Response Case Manager assists the member/consumer (M/C) appropriate for rapid...
| | PA - Philadelphia
| 3 Weeks Ago |
RN Case Manager -
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Job type: Full-Time
Under the supervision of the Supervisor, Care Coordination, the Complex Nurse Case Manager assumes the overall accountability for the identification...
| | DC - Washington
| 3 Weeks Ago |
Utilization Management RN's Needed -
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Job type: Full-Time
The Clinical Care Reviewer Nurse is responsible for completing medical necessity reviews using KMHP policies and procedures, reviewing inpatient and...
| | DC - Washington
| 3 Weeks Ago |
