- Elevance Health (Tampa, FL)
- ** Audit & Reimbursement II - Appeals ** _Location: This is a United States based, virtual position._ **National Government Services** is a proud member of ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II ** will...report reopenings. + Under guided supervision, participate in completing appeals related work: + Position papers + Jurisdictional Reviews… more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and… more
- MyFlorida (Tallahassee, FL)
- 68064785 - GOVERNMENT OPERATIONS CONSULTANT II Date: Apr 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064785 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68064785 Salary: $1,694.62 -… more
- State of Colorado (Adams County, CO)
- Grounds & Nursery II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4903186) Apply Grounds & Nursery II Salary $3,768.00 Monthly Location ... benefits,Colorado PERA (https://www.copera.org/) . + Access to a tuition reimbursement program for eligible employees, their eligible dependents and domestic… more
- City of Thornton (Thornton, CO)
- Court Specialist I/ II Print (https://www.governmentjobs.com/careers/thornton/jobs/newprint/4899814) Apply Court Specialist I/ II Salary $26.42 - $37.31 Hourly ... I: $26.42 - $34.87 per hour + Court Specialist II : $28.27 - $37.31 per hour The City of...in real-time into court operating system; Prepares and files appeals with District Court following strict legal statutory guidelines.… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position Type: Full ... Job Summary The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and actively influencing the...in the development of tools and procedures established to audit each vertical under the Customer Solution Center. In… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Specialist II Job Category: Customer Service Department: CSC Training & Performance Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Customer Solution Center Training Specialist II is responsible for conducting functional training Customer Solution Center (CSC)… more
- State of Colorado (Denver, CO)
- …travel reimbursement . This position exists primarily to perform travel audit functions ensuring CDEC travel program maintains compliance. What you'll be doing: ... + Audit incoming travel reimbursement requests for the...verify, and report information related to financial transactions. Option II : Combination of Education and Experience A combination of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …by: I. Peer-to Peer (P2P) Concurrent appeals ii . Written Concurrent appeals iii. Recovery Audit Contractors & levels of appeal iv. Root cause analysis ... UMC. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined in… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appealsii. Written Concurrent appeals iii. Recovery Audit Contractors & levels of appeal iv. Root ... Center. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined… more