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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

You will be able to work from your home location within the United States
PURPOSE AND SCOPE:
The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accr...

Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Supports peer-to-peer (P2P) processes, including scheduling P2P between Medical Directors and pro...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

The Purchasing Coordinator must be knowledgeable of all phases of the Harris County purchasing process and be able to communicate and coordinate with departments, vendors, and other Purchasing Department personnel. The Purchasing Coordinator supports multiple Buyers, Senior Buyers and/or Contracts Administrators.
Duties and Responsibilities:
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Prepare documents supporting the purchasing pr...

Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the m...