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Results based on filters ( 145 jobs found )

Business Analyst

AGIA Affinity
California
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Business Analyst 17 hours ago ? California – Remote Although this job is ...
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listed in California, this company may be open to hiring remote in other states. ? $95k / year ⏰ Full Time ? Senior ? Lead ? Business Analyst Apply Now Receive Emails with Similar Jobs Report problem AGIA Affinity Website LinkedIn All Job Openings AGIA Affinity is a company that develops, markets, and administers innovative benefit programs aimed at helping organizations engage and retain their customers, members, or employees. With a rich history spanning nearly 70 years, AGIA is known for offering unique solutions and...
Location:
California
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Remote Rocketship
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Senior Product Analyst

Project Affinity, Inc.
Located in Ohio
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Content : Affinity is a relationship intelligence platform that helps ...
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About the job:
dealmakers find, manage, and close more deals by leveraging the power of their network. We use technology to amplify human relationships by providing data and insights that enable people to connect and take action with confidence. At Affinity, you’ll have the opportunity to fundamentally change the way people leverage their relationships to do business. We are seeking a highly motivated and experienced Senior Product Analys t to join our Product Management team. As a Senior Product Analyst at Affinity, you will play a...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Project Affinity, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Account Executive, Mid Market

Project Affinity, Inc.
Located in Ohio
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Content : The Role In this role, you'll be responsible for building and ...
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closing a pipeline of net new accounts and existing customers expansion revenue within our Private Capital CRM business, the Mid-Market Segment. This position will report directly to the Senior Sales Manager, and you will be joining a seasoned team of talented professionals and leaders that are here to help support you and your success! What you’ll be doing: Review, qualify, and follow up on daily inbound leads Present to prospects, and challenge their thinking about how they can optimize their teams and processes, to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Securities, Commodities, and Financial Services Sales Agents
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Project Affinity, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Transition of Care Coach LPN, LCSW or LMSW Remote with field travel in King County

Affinity Health Plan
Washington
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JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with ...
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About the job:
members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. We are seeking a candidate with a WA state LPN, LCSW or LMSW licensure to support our...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Affinity Health Plan
Certifications / Licenses:
Certified Case Manager
Licensed Clinical Social Worker
Licensed Professional Clinical Counselor
Licensed marriage and family therapist
Licensed Master Social Worker
Licensed Professional Counselor
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

UM LVN Delegation Oversight Nurse Remote based in CA

Affinity Health Plan
Long Beach, CA
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JOB DESCRIPTION Job Summary The Delegation Oversight Nurse is responsible ...
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About the job:
for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are looking for LVN's with at least 4 years of UM experience, NCQA accreditation, and knowledge of InterQual / MCG guidelines. Excellent computer knowledge, multi-tasking skills and analytical thought process is important to be...
Location:
Long Beach, CA
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Affinity Health Plan
Certifications / Licenses:
Certified Case Manager
Certified Professional in Healthcare Quality
Licensed Practical Nurse
Licensed Vocational Nurse
Certified Registered Nurse
Certified Professional In Healthcare Management
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Assoc Specialist, Corp Credentialing

Affinity Health Plan
Arizona
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JOB DESCRIPTION Job Summary Molina's Credentialing function ensures that the ...
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About the job:
Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position is also responsible for meeting daily/weekly production goals and maintaining a high level...
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
From:
Affinity Health Plan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Provider Contracts Manager

Affinity Health Plan
Seattle, WA
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Remote and must live in Washington*** Job Description Job Summary Molina ...
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About the job:
Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for contracting/re-contracting of standard deals, maintaining network adequacy, issue escalations and JOCs on exception, including standardized fee for service and other...
Location:
Seattle, WA
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Affinity Health Plan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Specialist, Claims Recovery

Affinity Health Plan
Arizona
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Specialist, Claims Recovery AZ, United States and 89 more Trending Job ...
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Description JOB DESCRIPTION Job Summary Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. Job Duties - Prepares written provider overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. -...
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Affinity Health Plan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Assoc Specialist, Corp Credentialing (Remote)

Affinity Health Plan
Arizona
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Molina Healthcare is hiring for a Corporate Credentialing Associate ...
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Summary
About the job:
Specialist . This role is remote and can be worked from a variety of locations within the US. This position processes the credentialing and recredentialing applications for practitioners and facilities that would like to be in the Molina Healthcare network of providers. They verify licensure, DEA, work history, professional liability insurance, training, board certification, etc. We support all LOBs. Highly Qualified Candidates Will Have the Following Experience- - Excellent critical thinking skills - The ability to work...
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
From:
Affinity Health Plan
Certifications / Licenses:
Board Certified
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead, HCS (Non-Clinical) - Medicare

Affinity Health Plan
Arizona
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JOB DESCRIPTION Lead for Healthcare Services will be supporting a team of ...
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About the job:
Care Review Processor supporting our Medicare line of business. This role will require working as Subject Matter Expert as well as training staff. This is a remote role, home office with internet connectivity of high speed required. Monday – Friday 8 AM to 5 PM (Resident Time Zone) – ability to cover Saturday/Sundays every 6 weeks) Job Summary Molina Healthcare Services (HCS) Department works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of...
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Compensation, Benefits, and Job Analysis Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Affinity Health Plan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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