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6 Jobs bij Mcs-Puerto-Rico

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Network Management Coordinator AD

RegularNon-ExemptGENERAL DESCRIPTION:Responsible for coordinating, routing, and following up on operational requests related to the department and/or unit. Provides administrative support, manages doc...

Commercial Regulatory Operations Advisor AD

RegularExemptGENERAL DESCRIPTION:Serves as a legal advisor and compliance leader for the Commercial Sales, Renewals, and Operations teams, ensuring adherence to state and federal regulations, risk mit...

External Account Executive AD

RegularExemptGENERAL DESCRIPTION:Represents the company in official service negotiations with assigned group. Attend, channel, and solve the different situations from customers, underwriters, and prod...

Network Management Coordinator

RegularNon-ExemptGENERAL DESCRIPTION:Responsible for coordinating, routing, and following up on operational requests related to the department and/or unit. Provides administrative support, manages doc...

Commercial Regulatory Operations Advisor

RegularExemptGENERAL DESCRIPTION:Serves as a legal advisor and compliance leader for the Commercial Sales, Renewals, and Operations teams, ensuring adherence to state and federal regulations, risk mit...

External Account Executive

RegularExemptGENERAL DESCRIPTION:Represents the company in official service negotiations with assigned group. Attend, channel, and solve the different situations from customers, underwriters, and prod...

Claims Analyst III

RegularNon-ExemptGeneral DescriptionAnalyzes, processes, and adjudicates all types of complex claims both in CMS1500 and UB-04 formats using the highest degree of analysis for payment and/or decline i...

Stars Call Center Representative

RegularNon-ExemptGENERAL DESCRIPTION:Responsible for receiving and initiating phone calls regularly in alignment with the strategies and special projects of the Medicare Stars Program. Ensures the cal...

Claims Analyst II

RegularNon-ExemptGeneral DescriptionAnalyzes claims and/or adjustments in 1500, UB04 format and member reimbursements by applying payment rules for payment adjudication and denial and /or requests for...

Claims Analyst III AD

RegularNon-ExemptGeneral DescriptionAnalyzes, processes, and adjudicates all types of complex claims both in CMS1500 and UB-04 formats using the highest degree of analysis for payment and/or decline i...

Stars Call Center Representative AD

RegularNon-ExemptGENERAL DESCRIPTION:Responsible for receiving and initiating phone calls regularly in alignment with the strategies and special projects of the Medicare Stars Program. Ensures the cal...