We have other current jobs related to this field that you can find below
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Obstetrics and Gynecology Specialist
3 hours ago
Temple, Texas, United States Baylor Scott & White Health - Central Texas Full timeBaylor Scott & White Health is actively seeking a board certified or board eligible physician specializing in Obstetrics and Gynecology to become part of a distinguished OB/GYN program. The selected physician will engage in direct patient care within a supportive environment. This is a full-time employed role offering a competitive compensation package,...
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Advanced Practice Provider
6 days ago
Temple, Texas, United States Pain Specialist of America LLC Full timeJob TypeFull-timeOverviewPain Specialists of America LLC is a leading provider in comprehensive pain management solutions. We are in search of a dedicated and enthusiastic Advanced Practice Provider (APP), specifically a Nurse Practitioner or Physician Assistant, to enhance our exceptional team.LocationOur facility is dedicated to providing top-tier care and...
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Clinical Laboratory Specialist
6 hours ago
Temple, Texas, United States Laredo Technical Services, Inc. Full timeJob OverviewCLINICAL LABORATORY SPECIALISTPOSITION SUMMARY:Laredo Technical Services, Inc. is in search of skilled Clinical Laboratory Specialists to deliver essential diagnostic testing services.KEY RESPONSIBILITIES:Conduct independent analysis and interpretation of laboratory findings.Evaluate and validate laboratory procedures and outcomes.Utilize...
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HR Operations Specialist
5 days ago
Temple, Texas, United States Regency Manor Healthcare Center Full timeJob OverviewAt Regency Manor Healthcare Center, we are dedicated to delivering compassionate care and support to each resident. The success of our mission relies heavily on skilled HR professionals who contribute to our commitment to excellence in rehabilitation and long-term care services.Your expertise will have a significant impact every day, and we value...
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Information Governance Specialist
5 days ago
Temple Hills, Maryland, United States Global TechPro Full timePosition Overview:This is a fully remote opportunity.Objective:To evaluate, enhance, and optimize the Records Management (RM) program at Global TechPro, ensuring adherence to the standards, regulations, and guidelines established by the National Archives and Records Administration (NARA).It is essential to maintain the agency's RM practices to be efficient,...
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Nurse Practitioner or Physician Assistant
1 month ago
Temple, United States Pain Specialist of America LLC Full timeJob Type Full-time Description Pain Specialists of America (PSA) is a Texas-based, multisite comprehensive pain management. We are seeking a high energy, compassionate and excited Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant, to join our dynamic team who can support our Temple location. Temple Address: 305 Clinite Grove Blvd,...
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Customer Care Specialist
6 days ago
Temple, United States City of Temple Full timeReady to Start Your Career with the City of Temple? Summary Responsible for performing routine accounts receivable transactions and general office duties. Performs financial related work and analysis as required. Provides accurate information and professional assistance to customers. Research, documents, and resolves customer account issues and concerns....
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Patient Registration Specialist
5 days ago
Temple, Texas, United States Baylor Scott White Health Full timeAbout the Role As a Patient Registration Specialist, you will play a vital role in ensuring a smooth and efficient patient experience at Baylor Scott & White Health. You will be responsible for gathering essential patient information, verifying insurance coverage, and facilitating financial transactions. Key Responsibilities Conduct thorough patient...
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Child Life Specialist
6 days ago
Temple, United States Baylor Scott & White Health Careers Full time*JOB SUMMARY* The Child Life Specialist will work with pediatric patients and family members to give emotional, social and developmental support, and to add to the quality of care throughout the challenges of illness or injury, including end of life and bereavement. * *ESSENTIAL FUNCTIONS OF THE ROLE* * Works to give psychosocial care and as an advocate...
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Child Life Specialist
1 week ago
Temple, United States Baylor Scott & White Health Full timeJOB SUMMARY The Child Life Specialist will work with pediatric patients and family members to give emotional, social and developmental support, and to add to the quality of care throughout the challenges of illness or injury, including end of life and bereavement. ESSENTIAL FUNCTIONS OF THE ROLE Works to give psychosocial care and as an advocate for...
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Escalations Specialist
4 weeks ago
Temple, United States Baylor Scott & White Health Full timeJOB SUMMARYThe Escalations Specialist investigates, evaluates and resolves member and provider issues or complaints for Commercial, Medicaid, Medicare and Marketplace products. Responsibilities include, but are not limited to: timely classification and resolution of cases, review, research and root cause research. Also includes coordination and interaction...
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Escalations Specialist
4 weeks ago
Temple, United States Baylor Scott & White Health Full timeJOB SUMMARYThe Escalations Specialist investigates, evaluates and resolves member and provider issues or complaints for Commercial, Medicaid, Medicare and Marketplace products. Responsibilities include, but are not limited to: timely classification and resolution of cases, review, research and root cause research. Also includes coordination and interaction...
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Customer Service Retail Specialist
5 days ago
Temple, Pennsylvania, United States Community Aid Full timeJob OverviewLocation Reading, PA Employment Type Full-Time/Part-Time Compensation $15.00 Hourly Category Retail Position Summary**STARTING WAGE $14.50/HR WITH INCREASE TO $15.00/HR AT 90 DAYS OF EMPLOYMENT**COMPANY INCENTIVE PROGRAM FOR ALL EMPLOYEESROLE OBJECTIVE: The Sales Floor Associate plays a crucial role in ensuring the effective management of the...
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ESI Specialist
6 days ago
Temple Hills, United States Leidos Holding Full timeDescription At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customers' success. We empower our teams, contribute to our communities, and operate sustainably. Everything we do is built on a commitment to do the right thing for our customers, our people, and our community. Our...
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Vascular Imaging Specialist
6 days ago
Temple, Texas, United States NAVIX Diagnostix Full timePosition Overview: NAVIX Diagnostix is in search of dedicated full-time Vascular Imaging Specialists to join our esteemed team. The role of the Vascular Imaging Specialist involves employing advanced color-flow duplex ultrasound and physiological assessment technologies to generate ultrasound visuals and associated data, which are essential for physicians in...
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Obstetrics and Gynecology Specialist
5 days ago
Temple, Texas, United States Baylor Scott & White Health - Central Texas Full timeBaylor Scott & White Health is actively seeking a board certified or board eligible physician specializing in Obstetrics and Gynecology to become a vital part of our esteemed OB/GYN program. This role involves providing direct patient care within a supportive and collaborative environment.Position Highlights:A robust team of 35 physicians in the department...
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Obstetrics and Gynecology Specialist
2 hours ago
Temple, Texas, United States Baylor Scott & White Health - Central Texas Full timeBaylor Scott & White Health is actively seeking a board certified or board eligible physician specializing in Obstetrics and Gynecology to become a part of a distinguished OB/GYN program. The selected physician will be responsible for delivering direct patient care in an employed capacity, offering a competitive salary, relocation assistance, and a...
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Obstetrics and Gynecology Specialist
6 days ago
Temple, Texas, United States Baylor Scott & White Health - Central Texas Full timeBaylor Scott & White Health is actively seeking a board certified or board eligible physician specializing in Obstetrics and Gynecology to become a part of a distinguished OB/GYN program. The selected physician will engage in direct patient care within an employed role that offers a competitive salary, relocation assistance, and a comprehensive benefits...
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Heavy Vehicle Maintenance Specialist
5 days ago
Temple, Texas, United States Swift Transportation Full timeImmediate Openings for Heavy Vehicle Maintenance SpecialistsCompensation: $21.00-$33.00 per hour, with overtime rates ranging from $36-$49.50 (when available) Schedule: 4-3 to 3-4, Wednesday to Saturday and Thursday to Saturday, 6 PM to 6 AMWhat We Offer Our Heavy Vehicle Maintenance Specialists:Comprehensive benefits package including:- 401(K) with company...
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Power BI Developer
1 day ago
Temple, United States Apex Systems Full timeApex Systems is hiring for a Power BI Developer/Architect in Temple, Texas. This is a 6 Month Contract to Hire role. Role and Responsibilities:Design, develop and optimize performance of BI solutionsCollaborate with product managers and stakeholders to gather and understand data requirementsStudy, analyze and understand business requirements to set...
Appeals & Grievance Specialist - Government Plans
2 months ago
**JOB SUMMARY**The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and grievance cases for products for all lines of business. Responsibilities include, but are not limited to: timely classification and resolution of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory guidelines.**ESSENTIAL FUNCTIONS OF THE ROLE**+ Maintains data entry requirements for all complaints, appeals and grievances.+ Builds case files for each complaint, appeal and grievance, and ensures compliance with organizational and regulatory guidelines.+ Investigates providers and members or authorized representatives concerns and disputes for all lines of business. Contacts members and providers to gather information and communicate disposition of cases. Consults with health care providers, vendors, legal representatives, medical, and staff administration, and accurately documents all communication with involved parties. Reviews details submitted by members and providers; verifies classifications and enters information into the data management tracking system.+ Maintains case assignment worklist assuring cases are on track and closed within the regulatory turn around time.+ Coordinates activities for all expedited and external case reviews, and prepares final case submissions.+ Refers clinical appeal cases to Medical Nurse Auditors or Pharmacy Technicians for handling where required.+ Ensures case closure correspondence is generated in accordance with regulatory and statutory requirements and in response to instructions from external review entities.+ Chairs and coordinates participation at appeal panel hearings, e.g. coordinates with members of panel, provides information prior to hearing, assures scheduling and physician follow-up to ensure attendance, as appropriate.**KEY SUCCESS FACTORS**+ Bachelor's degree in Healthcare, Administration, or related field preferred.+ Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment.+ Advanced oral and written communication ability required.+ Proficiency in Microsoft Office and Access.+ Ability to appropriately identify urgent situations and follow the appropriate protocol.+ Requires the ability to plan and manage multiple priorities within a fast-paced office environment.+ Must be able to work well autonomously and as a team member.+ Knowledge of basic medical terminology a plus.+ Proficiency in writing business correspondence required.**BENEFITS**Our competitive benefits package includes the following+ Immediate eligibility for health and welfare benefits+ 401(k) savings plan with dollar-for-dollar match up to 5%+ Tuition Reimbursement+ PTO accrual beginning Day 1Note: Benefits may vary based upon position type and/or level**QUALIFICATIONS**+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification+ MAJOR - Healthcare+ EXPERIENCE - 2 Years of ExperienceAs a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
