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Lead and develop a team of analysts Prepare, sign, and submit fully insured regulatory filings Small Group ACA Filings, including AV Calculations and Mental Health Parity Testing Large group (51+) Rate Filings Association Health Plans Respond to regulator questions or objections Develop and present sound rate recommendations to the Health Plan leadership quarterly Small Group ACA, Alt Funded (Sma
Posted 1 day ago
Prepare examination rooms and sterilizing equipment Room patients, obtain health history, check vital signs and perform EKG's Administer injections and collect specimens Document patient care using NextGen electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork Assist physicians and n
Posted 1 day ago
Patient Care Functions Interview patient to determine medical problems/conditions and documents this information in charts for physicians Explain procedures and treatments to patients Administer prescribed medications and treatments in accordance with approved nursing techniques Prepare equipment and aids physicians during treatment and examination of patients Maintains awareness of comfort and sa
Posted 1 day ago
Prepare packages or shipments for distribution to our members' Verify member data and submit orders in computer system Contact members to validate data, request payment information and establish priority of order Manage supply inventory and ordering Respond to service calls for repair of inserters, printers and postage meters Hours for this position will be Monday Thursday 2 p.m. 10 30 p.m. & Frid
Posted 1 day ago
Prepares and positions patients for diagnostic imaging procedures Explains procedures and process to patients Moves imaging equipment into the specified position; determines exposure factors on the basis of height, weight, the portion of the body involved, and the degree of penetration required; and adjusts equipment controls to set exposure factors and produce images of proper detail, density, a
Posted 1 day ago
Provide support and direction to any development efforts that impact our premium tax and\or Finance function Promote financial data integrity, compliance and auditability of the financial systems Identify and resolve technical, operational and organizational problems Participate in planning activities related to Premium tax and assessment issues. Perform research and provide analysis of proposed a
Posted 1 day ago
Understand the talent needs of the internal sales center Understand the details of multiple workstreams for sourcing and onboarding talent Oversee, analyze and enhance a seasonal agent strategy and model Collaborate with subject matter experts across multiple functional areas Strategize, implement and execute new processes Coordinate and facilitate any hiring events Build relationships with other
Posted 1 day ago
Provide exceptional customer service to all patients and members of the clinic staff Under direct supervision of the registered pharmacist, fills prescription orders and makes them available for verification by the Pharmacist. Once verified by the pharmacist, dispenses the prescriptions. Order, receive and store incoming pharmacy supplies. Receive and process wholesaler medication orders. Verify m
Posted 1 day ago
Prepare examination rooms and sterilizing equipment Room patients, obtain health history, check vital signs and perform EKG's Administer injections and collect specimens Document patient care using NextGen electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork Assist physicians and n
Posted 1 day ago
Answer incoming phone calls from members and health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide
Posted 1 day ago
Work collaboratively with others to define a strategy and roadmap that encompasses multiple organizations, documenting the strategy and requirements for unified portals and how we would bridge from today to an experience integrating the Broker, Member (E.g. Healthx & Facets), Next Gen User experience and miscellaneous other portals Identify and prioritize the customer self service transactions and
Posted 1 day ago
Opportunities with American Health Network, part of Optum. When you join American Health Network (AHN), you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We're a physician led organization
Posted 1 day ago
Prepare examination rooms and sterilizing equipment Room patients, obtain health history, check vital signs and perform EKG's Administer injections and collect specimens Document patient care using NextGen electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork Assist physicians and n
Posted 1 day ago
Provide skilled nursing care for expectant mothers in the home care environment Travel to provide in home patient care and continuous education to patients and family members Continually assess the mothers' condition to ensure they are safe in the home environment Modify the plan of care, as appropriate, based upon reassessment, change in prescriber orders, the patient's need for further care or s
Posted 1 day ago
Provide skilled nursing care for expectant mothers in the home care environment Travel to provide in home patient care and continuous education to patients and family members Continually assess the mothers' condition to ensure they are safe in the home environment Modify the plan of care, as appropriate, based upon reassessment, change in prescriber orders, the patient's need for further care or s
Posted 1 day ago
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