Jobs in Nightcliff

1 - 15 of 24
1 - 15 of 24
Primary duties may include, but are not limited to : - Ensures adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost effective. -...
ttcportals.com -
Anthem - Nightcliff NT - Analyst
Primary duties may include, but are not limited to : Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal...
ttcportals.com -
Anthem - Nightcliff NT - Operations
SCHEDULE : Full-time Your Talent. OurVision . At Anthem, Inc., it’s a powerful combination, and the foundationupon which we’re creating greater access to care for our members, greater valuefor our...
ttcportals.com -
Anthem - Nightcliff NT - Manager
Primary duties mayinclude, but are not limited to : - Manages theday-to-day configuration activities - Analyzesbusiness requirements and objectives towards determining the optimalconfiguration of...
ttcportals.com -
Anthem - Nightcliff NT - Operations
Primary duties may include, but are not limited to : - Manages theoperational performance of key areas to assure each department is meetingcompliance and business thresholds. - Ensuresdeficiencies...
ttcportals.com -
Anthem - Nightcliff NT - Manager
Primary duties may includes, but are not limited : - Managing incoming calls or incoming post services claims work. - Determines contract and benefit eligibility - Provides authorization for...
ttcportals.com -
Anthem - Nightcliff NT - Manager
Primary duties may includes, but are not limited : - Managing incoming calls or incoming post services claims work. - Determines contract and benefit eligibility - Provides authorization for...
ttcportals.com -
Anthem - Nightcliff NT - Clinic
Primary duties may include, but are not limited to : - Ensures integration of quality into the overall business process. - Performs assessments to identify gaps in the enterprises quality and...
ttcportals.com -
Anthem - Nightcliff NT - Auditor
Primary duties may include, but are not limited to : - Audits finalizedclaims payments and looks for errors in payment by comparing to Providercontracts, Health Plan policies, CCI edits, CMS payment...
ttcportals.com -
Anthem - Nightcliff NT - Design Manager
Primary duties may include, but are not limited to : - Leads the design and implementation of all configuration and benefit set up in core system. - Researches new programs, involving major...
ttcportals.com -
Anthem - Nightcliff NT - Analyst
Primary duties may include, but are not limited to : - Represents the highest level of expertise that is required to respond to regulators, media inquiries, member and provider issues escalated to...
ttcportals.com -
Anthem - Nightcliff NT
Primary duties may include, but are not limitedto : - Receives provider applications and contactsproviders for any additional supporting documentation or clarification. - Builds file documentation...
ttcportals.com -
Anthem - Nightcliff NT - Auditor
Primary duties may include, but are not limited to : - Performs audits of and may adjudicate high dollar claims while maintaining acceptable levels of claims inventory and age. - Ensures claim...
ttcportals.com -
Anthem - Nightcliff NT - Analyst
Primary duties may include, but are not limited to : - Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting or other research. -...
ttcportals.com -
Anthem - Nightcliff NT - Training
Primary duties mayinclude, but are not limited to : - Determines theimpact of new federal or state regulations on provider files. - Develops andmaintains departmental policies and procedures....
ttcportals.com -
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