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Search Results: 231 Jobs
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Director Credentialing Verification Office & Medical Staff Services
Powers Health

Munster, Indiana

Director Medical Staff
St. Christopher's Hospital for Children

Philadelphia, Pennsylvania

Provider Enrollment Specialist II and III
Medical Provider Resources

WICHITA, Kansas

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Mt. Washington Pediatric Hospital Logo
Medical Staff Coordinator
Mt. Washington Pediatric Hospital

Baltimore, Maryland

Banner Health Logo
Behavioral Health Medical Staff Manager
Banner Health

Scottsdale, Arizona

Beebe Healthcare Logo
ADVANCED ED TECH (LPN or NREMT-P)
Beebe Healthcare

Lewes, Delaware

NEW!
BJC HealthCare Logo
Child Life Specialist
BJC HealthCare

Saint Louis, Missouri

NEW!
Foundation Health Partners Logo
Certified Medical Assistant (CMA) - Outpatient Pediatrics Clinic
Foundation Health Partners

Fairbanks, Alaska

NEW!
Nicklaus Children’s Health System Logo
Physician Admin Assistant - Plastic Surgery (Full Time, Day shift)
Nicklaus Children’s Health System

Miami, Florida

NEW!
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Medical Staff Services Coordinator (Fixed-Hybrid) - Westwood
UCLA

Los Angeles, California

NEW!
Northeast Georgia Health System Logo
Administrative Director - Georgia Heart Institute GHI - Full Time
Northeast Georgia Health System

Gainesville, Georgia

NEW!
Beebe Healthcare Logo
LPN / LICENSED PRACTICAL NURSE - HOME CARE (PART TIME)
Beebe Healthcare

Millsboro, Delaware

NEW!
UCLA Logo
Medical Staff Services Coordinator (Fixed-Hybrid) - Westwood
UCLA

Los Angeles, California

NEW!
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Revenue Integrity Coordinator- ONSITE
WMCHealth

Valhalla, New York

NEW!
Onvida Health Logo
Certified Coder II - Hospital Billing
Onvida Health

Yuma, Arizona

NEW!
Beebe Healthcare Logo
SURGICAL FIRST ASSIST
Beebe Healthcare

Lewes, Delaware

NEW!
AdventHealth Logo
Consumer Access Spec Relief South Overland Park
AdventHealth

Lenexa, Kansas

NEW!
BJC HealthCare Logo
Inventory/Storeroom Worker
BJC HealthCare

Belleville, Illinois

NEW!
BJC HealthCare Logo
Chaplain Supervisor, ACPE Program
BJC HealthCare

Saint Louis, Missouri

NEW!
PIH Health Logo
Respiratory Care Practitioner, Part Time, 12 Hour, Days
PIH Health

Whittier, California

NEW!
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Patient Care Tech Float Pool PRN/As needed Nights
AdventHealth

Bolingbrook, Illinois

NEW!
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Manager, Credentialing Verification Office, Medical Staff Services, Full time, Days
PIH Health

Los Angeles, California

NEW!
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EHR Credentialed Trainer
BJC HealthCare

Saint Louis, Missouri

NEW!
Veterans Affairs, Veterans Health Administration Logo
Medical Supply Technician (Sterile Processing)
Veterans Affairs, Veterans Health Administration

Erie, Pennsylvania

NEW!
BJC HealthCare Logo
Gift Shop Clerk
BJC HealthCare

Saint Louis, Missouri

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Medical Dr Appeals&Grievances
JOB SUMMARYThe Medical Director, Appeals and Grievances provides leadership for Community Health Choice medical management programs. This includes reviewing appeals of adverse determinations, tracking them and providing feedback to Medical Affairs on current overturn trends. In addition will provide clinical input and oversight for Care (Disease) Management, Quality Improvement, Credentialing, and Preventive Health programs. Will work with Provider Relations to maintain and improve relationships with the provider community especially with Value based arrangements. Will perform medical necessity reviews as assigned including reviews with peer-to- peer interactions as needed and other duties as assigned.


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