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Capital health plan
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Albany 12260, NY, United States2 days ago on localhelpwanted.net
Jobsnurse
Additional commentsgenerous benefit package includes:Paid vacation leavepaid personal leavepaid holidayspaid sick leavetuition aidmedical, Prescription, Dental and Vision care benefitsmembership in the New York State and Local Employees' Retirement System, andvarious savings plan programs.Some positions may require additional credentials or a background check to verify your identity.nameanne soldnertelephone ... Fax ... Email ...@omh.ny.govaddressstreetcapital District Psychiatric Center75 New ...
capital health plan
:nurse albany ny
0
Minneapolis 55405, MN, United States1 week ago on localhelpwanted.net
Jobsconsultant training
...Advantage and Part D bids for cms (Centers for Medicare and Medicaid Services); Monitoring health plan performance, including reviewing the efficacy of risk and disease management initiatives, and negotiating special ...
capital health plan
:consultant
0
Austin 78789, TX, United States1 week ago on localhelpwanted.net
Jobshealth temporary
Knowledge of medical terminology preferred.Position Responsibilities:. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.. Verify eligibility and benefits. Answer phone queues and process faxes within established standards. Data enters authorizations into the system.Licenses/Certifications:The position above is with Superior healthplan, a wholly owned ...
capital health plan
:health
0
Austin 78789, TX, United States1 week ago on localhelpwanted.net
Jobsfacilities management training
...Facilities to ensure compliance, appropriate internal controls and adherence to policies and procedures. Responsible for Health & Safety requirements such as fire suppression equipment, emergency evacuation plans, automated external defibrillators (aeds), ...
capital health plan
:facilities management austin tx
0
Austin 78789, TX, United States1 month ago on localhelpwanted.net
Jobspharmacy temporary
...Assist Provider Relations staff and other departments with educating providers and others on the health plan's pharmacy process.. Collaborate with Quality Improvement (qi) Manager for various meeting preparation and ...
0
Austin 78789, TX, United States4 days ago on localhelpwanted.net
Jobsanalyst temporary
Monitor agent productivity and provide feedback to call center supervisory staff.. Generate reports daily, weekly, monthly, annually and ad hoc. Detail forecasts, plans, schedules and performance, both in advance and in review.. Identify, evaluate and report call center issues and differentiate between workflow, technical, external or staffing.. Work directly with the department head on strategic planning and new business ...
capital health plan
:analyst austin tx
0
Austin 78789, TX, United States3 weeks ago on localhelpwanted.net
Jobshealth training
Provide technical support to staff and provide ongoing training.. Initiate authorization requests for output or input services in keeping with the prior authorization list.. Research claims inquiry specific to the department and the responsibility.. Process referrals and refer, when appropriate to Case Managers.. Screen for eligibility and benefits. Answer phone cues and faxes within established standards.. Data enters authorizations ...
capital health plan
:health austin tx
0
Austin 78789, TX, United States4 days ago on localhelpwanted.net
Jobsmanager temporary
For bchp only, participate in face to face visits with high risk members at point of service.. Provide patient and provider education.. Identify related risk management quality concerns and report these scenarios to the appropriate resources.. Data enters assessments and authorizations into the system.Licenses/Certifications:rn required. Current state nursing and driver's license. ccm (Certified Case Manager) ...
capital health plan
:manager austin tx
0
Austin 78789, TX, United States2 weeks ago on localhelpwanted.net
Jobsmanagement temporary
Maintain compliance with National Committee for Quality Assurance (ncqa) standards for utilization management functions for the prior authorization unit.. Develop, implement and maintain policies and procedures regarding the prior authorization function.. Identify quality and risk management issues and facilitate the collection of information for quality improvement and reporting purposes.. Compile and review multiple reports for statistical and financial tracking ...
0
Austin 78789, TX, United States4 weeks ago on localhelpwanted.net
Jobsdata analyst temporary
Identify and resolve complex issues, including mass change updates, reconciliation projects, and the operationalization of data from various sources. Analyze and advise management of workflow issues and data integrity problems and offer recommendations on resolution. Develop and submit internal and external status reports. Create report and data reconciliation through Access, Excel, Business Objects and other reporting tools, to include ...
capital health plan
:data analyst
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