Employer Industry: Healthcare Services Why consider this job opportunity: Opportunity for career advancement and growth within the organization Competitive benefits and compensation package Chance to contribute to continuous quality improvement in provider network management Supportive and collaborative work environment Engage in meaningful work that impacts provider database accuracy and compliance What to Expect (Job Responsibilities): Generate and prepare provider-related data and reports to support Network Management and Operations Ensure timely and accurate distribution of reports for quality improvement and compliance Develop and maintain documentation and guidelines for assigned areas of responsibility Execute regular report generation related to Network Management activities Maintain provider information on claims and provider databases What is Required (Qualifications): Bachelor's Degree or equivalent combination of education and experience 3-5 years of managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration 3+ years of experience in Medical Terminology, CPT, ICD-9 codes, etc. Intermediate skill level (or higher) in Access and Excel Must reside in California How to Stand Out (Preferred Qualifications): 5+ years of managed care experience Experience with QNXT and SQL Familiarity with Crystal Reports for data extraction #J-18808-Ljbffr Molina Healthcare
...ARMED SECURITY OFFICER - Must be OPOTA certified and current in the certification Seeking professional armed officers or retired, or commissioned police officers for various security positions. Responsibilities may include: Greeting staff/registering visitors...
** No C2C candidates permitted. ** Piping Designer Muscatine, Iowa Rate: $60/hr. 10+ months Job Summary: The Project Engineering Piping/Mechanical Designer is responsible for completion of piping design and drafting duties related to all areas of the...
..., operational efficiency, and business growth. You will oversee finance, accounting, reporting, and internal controls while ensuring strategic... ...Candidate Education: Bachelor's in Finance or Accounting; MBA and/or CPA/CMA/CFA preferred. Experience: Experience in the...
...Job Description Job Description Mechanical Millwright - De Soto, KS Position: Mechanical Millwright (Bolt-Up Conveyor Installation) Location: De Soto, KS Pay Rate: $28 per hour + $100 per day per diem (7 days) Hours: 50+ hours per week Type: Long-Term...
Are you ready to start an exciting career in the travel industry? Were offering a flexible remote opportunity as a Virtual Hotel Reservations Agent. No prior experience is requiredjust a passion for travel, excellent customer service skills, and the drive to succeed....