Jobs by SimplyHired
Viewing 21 - 30 of 83 jobs
Implements compliance procedures and conducts complex departmental and company-wide audits from a legislative / regulatory standpoint. Investigates and resolves complex compliance issues. Communicates with regulators to resolve issues.
The Accounting Supervisor will be in charge of the day to day accounting responsibilities to include, but not limited to, financial reporting,analysis of G/L accounts and fixed assets. Other primary duties will include coordinating the...
s: Able to work effectively under a stressful environment. Strong organizational skills with the ability to function independently and as a team member. Strongly self-motivated excellent interpersonal skills. HealthSpring, Inc. is an...
Responsible for providing timely and accurate guidance to health plan departments related to federal rules and regulations.? Acts as a liaison between the health plan and Centers for Medicare and Medicaid Services (CMS). Review marketing...
Experienced, detail-oriented individual to manage the physician network activities. Proven history of maintaining positive interactions with key physicians, practices and senior management. Involving extensive interaction with...
Community Case Manager - Social Worker Responsible for providing guidance to members regarding barriers to managing health conditions.? Provides health coaching and consultation.? Assists members to change behaviors and to locate and...
um Requirements:High school education or equivalent. Healthcare background. Working knowledge of governmental guidelines, managed care, and Medicare. At least three or more years of related experience.HealthSpring, Inc.is an EEO/AA...
Responsible for coding education and training of physicians and physician offices.? Responsible for monitoring and auditing medical record coding performed by physician offices to ensure proper CPT and/or ICD-9 coding requirements are...
plan, and any disease management vendor(s). Employed by HealthSpring???s Professional Corporation. Reviews and participates in audits of medical records. Implement and maintain process for member chronic disease identification. Assist with...
Responsible for directingclaims functions to include managing, analyzing and ensuring accuracy of Medicare Advantage claims. Direct all activities for Provider Reimbursement, Savings and Recovery. Conduct rolling goals and assess training...
To further refine your results, please use the advanced filters below.