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HMO JOBS - Page 1

1 Senior. Underwriter, HMO Reinsurance and Provider Excess Plymouth, MN, USA We currently have an opportunity for a Senior level Underwriter to join our HMO Reinsurance and Provider Excess of Loss team. This position reports to our VP of Managed Care Excess Underwriting and ...... Apply Now>>

2 HMO Clerk III (Medical Biller/Collections) San Jose, CA, USA MAJOR JOB OBJECTIVES AND RESPONSIBILITIES: · Match authorization with billing and send to HMO or Hospital Risk Fund department. Strict attention must be paid to matching the bill with the authorized ...... Apply Now>>

3 HMO Biller Lakewood, NJ, USA GroFlex - Lakewood, NJ Healthcare company in Lakewood, NJ, seeking a full-time HMO biller who will be responsible to follow up on unpaid claims to ensure proper financial reimbursement from insurance ...... Apply Now>>

4 HMO Biller West Covina, CA, USA Qualifications - Strong preference for applicants familiar with HMO, private insurance and/or Medi-Cal billing practices - Excellent phone etiquette/customer service skills - Exceptional ability to ...... Apply Now>>

5 Compliance Coordinator / WI MercyCare HMO Janesville, WI, USA Function as the Medicaid HMO Advocate – Analyze and recommend policy and procedural changes to Mercyhealth functions including those needed to ensure and/or improve member cultural sensitivity ...... Apply Now>>

6 Property Assistant/ Apprentice to CEO of No1 HMO & Social Housing Landlord - Palmers Green N13. London, UK Property Assistant/ Apprentice to No1 HMO & Social Housing Landlord in N London - Palmers Green N13. *** No1 Property Assisant/ Apprentice Role in London ***. ** Working directly with the CEO of the ...... Apply Now>>

7 Database Administrator Sr. Grand Junction, CO, USA Use your exceptional DBA skills to design and maintain company-wide databases, data structures and integrated databases to enhance IT systems. Provide advanced technical expertise in the design and ...... Apply Now>>

8 RN Home Health Full or Part-Time Grand Junction, CO, USA Provide quality and safe delivery of home health care services to clients in their home utilizing a RN level of medical knowledge. Work in collaboration with home health patients, clinical management ...... Apply Now>>

9 Reporting Analyst, West Region HMO and Risk Capitation Operations - US Telecommute Hartford, CT, USA Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly ...... Apply Now>>

10 HMO/Private Housing Licensing Officer Wembley, Middlesex, UK Salary range: £30,324 - £31,998 p.a. inc. Contract: Permanent Hours of work: 36 hours per week Location: Civic Centre and other locations from time to time Improving the quality of privately rented ...... Apply Now>>

11 Sr Internal Auditor / WI MercyCare HMO Janesville, WI, USA JOB SUMMARY Design and manage the annual audit plan. Responsible for designing and conducting financial and risk-based audits to assure MercyCare's adherence with industry standards, federal and ...... Apply Now>>

12 Customer Service Specialist I - HMO Spokane, WA, USA Description: DescriptionResolve complaints and inquires and provide information to members, prospective members, providers, other insurance carriers, agents and brokers, attorneys, employer groups ...... Apply Now>>

13 2018 Psychiatry HMO/ Registrar Positions USA About the Role: We currently have vacancies available to fill positions from now and from February 2018 for medical practitioners, who already have full registration in Australia with the Australian ...... Apply Now>>

14 RN - Concurrent Review Nurse Novato, CA, USA The concurrent review nurse is knowledgeable about the Nurse Practice Act, JCAHO, NCQA, HMO and Medicare rules and pertinent state and federal regulations. The concurrent review nurse works as a team ...... Apply Now>>

15 Houses in Multiple Occupation Officer Lincoln, UK ... HMO licensing and accreditation schemes. 2 To assist in the management of the Council's HMO licensing scheme in accordance with the Housing Act 2004 and service guidelines, this will include ...... Apply Now>>

16 Senior Claims Auditor - Irvine, CA Irvine, CA, USA Experience working with Medicare / Medicaid / HMO * Knowledge of healthcare regulations and guidelines including CMS and MHC as pertains to AB1455 * Knowledge of Correct Coding Initiative, HCFA-1500 ...... Apply Now>>

17 EXPERIENCED DENTAL OFFICE MANAGER Santa Monica, CA, USA Billing of HMO encounter reports * Posting of treatment in computer (knowledge of Computer Age Dentist software is a plus but not required) * Treatment plan presentation * Posting of insurance ...... Apply Now>>

18 Healthcare Senior Financial Analyst - Shared Risk Los Angeles, CA, USA With Associate's Degree: 5 years experience in a healthcare setting (HMO and IPA), extensive knowledge of capitation, shared risk and demonstrated ability to work with complex databases. With High ...... Apply Now>>

19 Case Manager Santa Cruz, CA, USA Must be a licensed nurse with experience in managed care and managed care systems including commercial HMO, PPO, Medicare HMO plans and MediCal HMO plans. Company Description We are a 122 bed skilled ...... Apply Now>>

20 Account Executive II - Health Care Group Benefits Missoula, 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>>

21 Radiation / Medical Oncology Billing-Coder Beverly Hills, CA, USA Perform billing functions and extensive knowledge in claims generation, charge review, denial management, and appeals processes for HMO, Medi-Cal, Medicare and PPO. 3. Review pre-certification ...... Apply Now>>

22 Pre-Cert RN Manager Houston, MN, USA In fact, TexanPlus HMO has earned a 4-Star Quality Rating (out of 5) for 2014 and 2015, from the Centers for Medicare & Medicaid Services. That makes TexanPlus one of the highest rated Medicare plans ...... Apply Now>>

23 Internal Medicine - Physician Tampa, FL, USA They PREFER candidates with experience in HMO but open to training.Must want to be in the area. Client looking for long term physiciansPer client it\'s a \"great family town and good school district ...... Apply Now>>

24 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>>

25 Nurse Practitioner - Growing Elder Services PACE Program - Springfield, MA ! Springfield, MA, USA Fallon has consistently ranked among the nation's top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more ...... Apply Now>>

26 Provider Enrollment Specialist - San Bernardino, CA San Bernardino, CA, USA Manage up-to-date knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures * Other Duties as assigned. Additional Job Requirements * Regular scheduled attendance... Apply Now>>

27 Senior Manager - National Transplant Services Oakland, CA, USA Quality improvement in a transplant program or HMO preferred. Experience in research projects a plus. This position has accountability for the quality program for Kaiser Permanente-s solid organ and ...... Apply Now>>

28 Manufacturing Manager Fontana, CA, USA HMO and PPO options - Dental: HMO & Dental PPO In-Network - Vision Plan - Company-Paid Life Insurance - Matching 401(k) - Profit Sharing/Growth Bonuses - Safety Award Program - Employee Assistance ...... Apply Now>>

29 Third Party Reimbursement Specialist Skokie, IL, USA This position will prepare, bill and monitor claims for Medicare Part A, Medicare Part B, Medicare Managed Care (HMO) and coinsurance. In addition, this position will be responsible for overseeing ...... Apply Now>>

30 Project Manager Los Angeles, CA, USA Strong HMO experience/ managed care health insurance programs with preference given to applicants with strong experience in Medicaid and Medicare managed care. Basic work experience utilizing Project ...... Apply Now>>

31 Sales Account Executive Orange, CA, USA Western Dental provides a Dental HMO product through brokers and consultants as well as direct to customers. A Sales Account Executive develops and maintains relationships with these intermediaries ...... Apply Now>>

32 EXPERIENCED DENTAL RECEPTIONIST BILINGUAL PREFERRED Santa Monica, CA, USA Must have knowledge of how HMO and PPO insurance works. Daily responsibilities include checking in and checking out patients, making appointments, answering phones, collecting payments, treatment ...... Apply Now>>

33 Dental Receptionist-Front Office Patient Coordinator Long Beach, CA, USA Dental Front Office Receptionist Min. 2 years dental experience (Either Front Office or Dental Assisting) Knowledge of dental PPO and HMO insurances Answering phones, making appointments, Checking in ...... Apply Now>>

34 Physician / Pediatric / Wytheville, VA Hospital Total Medicare/HMO/Exempt 47.57 % Anthem/Blue Cross 27.87%Medicaid/HMO 12.10% Self-Pay 5.72% Workers Comp 0.68% Commercial 2.05%Other(HMO/PPO/Champus) 3.84% Federal/State 0.16% Offering... Apply Now>>

35 Chief Operating Officer (m/f) Tempe, AZ, USA Experience with a joint venture HMO is desirable... Apply Now>>

36 Patient Account Rep - Epic and Hospital Billing Mountain View, CA, USA Keeps informed of managed care and contractual arrangements in order to resolve and process accounts by HMO/PPO payers. Monitors and reports on the status of outstanding accounts within assigned unit ...... Apply Now>>

37 Business Information Developer Sr. - Walnut Creek, CA - 134913 Walnut Creek, CA, USA Construct HMO delivery system clinical utilization reports, such as inpatient metrics and care referral patterns, automating updates for recurring views. * Conduct cross-validation, data cleansing ...... Apply Now>>

38 Enrollment Specialist Minneapolis, MN, USA Qualified candidates will have at least three years of experience in health care, HMO, or insurance field and working knowledge of Medicare and Medicaid. Apply by sending your updated resume to mpg3 ...... Apply Now>>

39 Journeyman Chrysler Technician Watsonville, CA, USA We offer great benefits for our employees; medical PPO & HMO, dental and vision insurance, life insurance, 401K plans, and voluntary benefit plans with the chance to work with conscientious ...... Apply Now>>

40 Patient Access Tech - CHA - Cape Fear Heart Associates Wilmington, NC, USA Maintain general knowledge of CMS guidelines and third party payers, specifically, Medicare, Medicaid, Commercial insurances, HMO's, PPO's, POS, indemnity plans, and Worker's Compensation, etc. 8... Apply Now>>

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