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HMO JOBS - Page 1


1 HMO Licensing Officer. London, UK My client, a London Borough Council, are urgently recruiting for a HMO Licensing Officer to enforce statutory provisions as an Authorised Officer under the Councils’ delegated authorities and ...... Apply Now>>

2 HMO Coordinator Brooklyn, NY, USA HMO Coordinator Bushwick Center for Rehabilitation and Healthcare seeks an HMO Coordinator for our skilled nursing facility in Brooklyn, NY. Competitive Rates and Excellent Benefits Packages ...... Apply Now>>

3 AR Billing Specialist (HMO) Maitland, FL, USA Job Functions As HMO Billing Specialist, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Responsible for ...... Apply Now>>

4 Locum ED HMO PGY3 USA Locum ED HMO PGY3 Dates: 2300 21st July - 0830 23rd July Rates: $100 per hour, plus support provided for travel and accommodation. The Position A Locum HMO (PGY3) is required to provide coverage in ...... Apply Now>>

5 Paediatric Registrar 2018 HMO Year USA The positions are suitable for Advanced Trainees in Paediatric Medicine (General), Basic Physician Trainees Year 3 and Senior HMO''s with significant paediatric and neonatal experience. The Box Hill ...... Apply Now>>

6 Property Manager to No1 Social Housing/HMO Landlord in N London- Palmers Green N13 London, UK Property Manager to No1 Social Housing/HMO Landlord in N London- Palmers Green N13 ** outstanding opportunity to become the CEO's right hand person on all property matters within the Group** * ARLA ...... Apply Now>>

7 Executive PA to No1 HMO & Social Housing Landlord in N London - Palmers Green N13 London, UK Executive PA to No1 HMO & Social Housing Landlord in N London ** please only apply if you are very good at what you, as you will be working for one of the best landlords in North London ** * ARLA ...... Apply Now>>

8 HMO Lettings Negotiator, Crosby crosby, UK They are seeking a HMO Lettings Negotiator who will arrange and attend viewings, arrange and conduct inspections, assist when necessary with property management and possess strong customer service ...... Apply Now>>

9 HMO Specialist Edmonds, WA, USA HMO Specialist is responsible for accounts receivable, insurance verification/authorizations, and HMO collection efforts. Essential Functions: * Reviews financial obligations with resident and/or ...... Apply Now>>

10 Supervisor, HMO Hackensack, NJ, USA Job Summary and ResponsibilitiesThe Sup, HMO, under the general direction of the Manager of Third Party Follow-up, supervises the daily activities of the follow-up staff to ensure that accounts are ...... Apply Now>>

11 RN Case Review Coordinator - Part Time Grand Junction, CO, USA Utilize clinical experience to provide Practice Quality Monitoring (PQM), office record review, and QA retro case review. Provide clinical support for provider incentive programs and quality ...... Apply Now>>

12 ED / HMO Locum Needed Swan Hill in VIC USA Resident required Earn $130 per hour Travel and Accommodation Provided Full time from 8 to 29 July 15 with Mixed Shifts There is a HMO / ED Locum role available at Swan Hill in VIC commencing at 12 ...... Apply Now>>

13 Claims Education Specialist Grand Junction, CO, USA Work with management to develop, deliver, and manage training programs for all members of the Claims Department as well as maintaining training records, monitoring training activities, and progress ...... Apply Now>>

14 Contract Manager HMO Providers (Health Plan) Dallas, TX, USA Description: POSITION SUMMARY: Responsible for negotiating and re-negotiating physician, hospital and ancillary provider contracts on behalf of Children's Medical Center Health Plan and all provider ...... Apply Now>>

15 Medical Claims Advocate - Health Insurance Plans (HMO / PPO) - Alight Solutions Lincolnshire, IL, USA Summary A critical part of your role as an Advocate will be offering your healthcare benefit expertise with compassion, empathy and sensitivity to assist our customers in resolving their complex ...... Apply Now>>

16 Medical Economics Consultant Philadelphia, PA, USA Review HMO claim data with working in excel/access * Go to HMO platform to review opportunities and understand how claim processed and if it was paid correctly * Interact with other business areas ...... Apply Now>>

17 Quality Improvement - Clinical Program Manager San Francisco, CA, USA The Clinical Program Manager, Quality Improvement HMO / ACO isresponsible for the development and execution of targeted, quality improvement initiativesin support of the HMO and ACO lines of business... Apply Now>>

18 Lead Care Coordinator San Diego, CA, USA High School diploma * 3-5 years working in the managed health care field, preferably HMO or delegated risk medical group/IPA setting. * 3 years experience with medical coding and data entry ...... Apply Now>>

19 VP, Actuarial Services Trend Management - MN, CA or Telecommute Minnetonka, MN, USA Manage HCE trend management processes in the complex provider reimbursement environment of the CA HMO with its capitated and delegated structure with provider-specific variance in division of ...... Apply Now>>

20 Billing Assistant Miami, FL, USA The HMO Billing- General Assistant will be responsible for all aspects of HMO billing process and fee collection for the Medicaid behavioral health services. Responsibilities: * Ensures all HMO ...... Apply Now>>

21 Property Manager - South London - £30,000 streatham, UK They are looking for a Property Manager to join their team who has experience with HMO's (Houses in Multiple Occupancy), flat shares and property management. The ideal person will have excellent ...... Apply Now>>

22 Inpatient Care Transition Nurse San Leandro, CA, USA Essential Requirements · 1 year Utilization Management in hospital, HMO, or IPA setting. · 1 year in health care delivery setting at hospital, clinic or physician’s office. · Strong ...... Apply Now>>

23 Claims Verifier San Diego, CA, USA One year previous claims processing experience in an HMO or indemnity insurance setting. (HMO preferred). Preferred Skills and Qualifications * Previous experience as a Sharp HealthCare Claims ...... Apply Now>>

24 OP Ancillary/Physician Coder Fountain Valley, CA, USA Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and HMO insurance, as well as, their impact on reimbursement. Utilize medical reference ...... Apply Now>>

25 Property Manager - Streatham streatham, UK You must have property management and HMO experience including knowledge of evictions and attending court as this is dealt all in house. A good knowledge of the property market, industry and local ...... Apply Now>>

26 RN, Care Coordinator Houston, TX, USA In fact, TexanPlus HMO has earned a 4.5-Star Quality Rating (out of 5) from the Centers for Medicare & Medicaid Services. That makes TexanPlus one of the highest rated Medicare plans in Beaumont and ...... Apply Now>>

27 Director of Building Services Evanston, IL, USA Optional dental HMO or PPO insurance * Tuition reimbursement promoting lifelong learning * Employee wellness programs, including free annual wellness screening * Learning to Age Well Program – ...... Apply Now>>

28 RN Case Manager Houston, TX, USA In fact, TexanPlus HMO has earned a 4.5-Star Quality Rating from the Centers for Medicare & Medicaid Services. That makes TexanPlus one of the highest rated Medicare plans in Beaumont and Houston... Apply Now>>

29 Payment Poster - Medical Los Angeles, CA, USA The Medical Payment Poster will be responsible for posting for various insurance companies that would include HMO and PPO insurance. Additional duties would include handling charge entry of medical ...... Apply Now>>

30 Provider Data Svcs Anly Arlington, TX, USA ... Provider (HMO), and Strategic Contract Manager (SCM) for all products. Assesses all requests for complete and accurate information. Completes contractually sensitive and complex provider data ...... Apply Now>>

31 Medi-Cal biller and follow up representative (Newport Beach, CA, US) Newport Beach, CA, USA Knowledge and experience of Medi-Cal fee for service –traditional- Medi-cal and Medi-Cal HMO billing requirements (experience of both required) appeals process, etc. Billing Medi-cal fee for ...... Apply Now>>

32 Registered Nurse (RN) - Supervisor, Clinical Health Services Princeton, NJ, USA BACKGROUND/EXPERIENCE -At least 3- 5 years of clinical RN experience with an HMO highly preferred! -Ability prioritize multiple responsibilities at one time is required -Supervisory experience is ...... Apply Now>>

33 Registered Nurse Case Manager and Registered Nurses Commerce, GA, USA Knowledge of criteria for Medicare, Medicaid, HMO and Private Insurance. * Knowledge of Medical Staff Quality Management Activities. * Assist in discharge planning for Home Health Care and Hospice ...... Apply Now>>

34 Certified Nursing Assistant - CNA Evanston, IL, USA Earn-as-you-go plan that rolls over year to year, offering flexibility · Medical benefits with HMO and PPO options · Optional dental HMO or PPO insurance · Tuition reimbursement promoting lifelong ...... Apply Now>>

35 Referral Coord Eureka, CA, USA Obtains authorization for procedures on both non-HMO as well as HMO/managed care patients. Under the direction of the CMS department is responsible for gathering additional clinical information ...... Apply Now>>

36 Manager, CompleteCare RN - Telecommuter New York, NY, USA Healthfirst’s commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our ...... Apply Now>>

37 Inpatient Care Transitions Nurse San Leandro, CA, USA Responsible for denial letters required by HMO contracts and other parties. ESSENTIAL POSITION RESULTS The essential functions listed are typical examples of work performed by positions in this job ...... Apply Now>>

38 Registered Nurse Bakersfield, CA, USA Distinguishing Characteristics This position is responsible for assigned Quality Improvement functions for a Knox-Keene licensed health maintenance organization (HMO). Essential Functions ** Assist ...... Apply Now>>

39 Manager, Internal Audit New York, NY, USA Healthfirst’s commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our ...... Apply Now>>

40 Account Executive II - Health Care Group Benefits Helena, MT, USA Must have General Lines Agent Life, Health, and HMO license or obtain General Lines Agent Life, Health, and HMO license within required time frame per state regulations. * 2 years as a group health ...... Apply Now>>



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