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
...experience in one or more of the following areas: Clean Air Act (CAA) regulations, Clean Water Act (CWA), Regulations, Resource Conservation and Recovery Act (RCRA) requirements and/or Emergency Planning and Community Right-to-Know Act (EPCRA) requirements. This role has...
...Description ABOUT THE JOB Do you know why Domino's Pizza hires so many drivers? Well, aside from the fact that our... ...well as access to an insured vehicle which can be used for delivery. You should possess navigational skills to read a map, locate...
...Job Summary: The Landscape Architecture team works on a variety of project types including design of master-planned residential communities and amenities, public parks & trails, commercial developments, urban renewal & streetscapes, and transportation projects. The Registered...
...Job Description Job Description Job Title: Gym Manager Location: Denver Job Type: Full-time Salary: $55-75,000 We are seeking a motivated and experienced Gym Manager with sales expertise to oversee all aspects of gym operations. The Gym Manager will be responsible...
...pipeline with one powerful platform. Piper operates across both the website and email, working to engage website visitors, capture leads,... ...is looking for a seasoned pro to fill the role of a Senior Web Designer. This position is perfect for a design professional who is...