5 Health jobs

, services and programs; refers members to population health management programs as appropriate Reaches ... Description: The Medical Management Representative supports clinical team and serves as a proactive ... resource for members related to case management and utilization management. .Requirements: Duties

as may be assigned Qualifications Bachelor's Degree in Health Care Administration, Nursing, Business ... Description: Job Purpose The Credentialing Specialist is responsible for the credentialing ... and recredentialing of providers in compliance with NCQA, CMS, DOI, state credentialing standards

Description: Job Purpose The Marketing Specialist assists with the execution of marketing ... and communications projects. and supports the development and implementation of tactical marketing ... communications projects for the Company, including sales tools, marketing collateral, advertisements, websites

Description: Job Purpose The Claims Processor is responsible for accurate and timely processing ... of medical claims pended for manual adjudication in assigned Workflow roles. The Claims Processor ... will accurately interpret benefit and policy provisions applicable to fully-insured plan members

Description: Job Purpose The IT Support Assistant provides support to the IT Department and end ... users on a variety of issues. This person will identify, research, and resolve technical problems ... and responds to telephone calls, email and personnel requests for technical support. .Requirements