Grievances and Appeals Specialist

About the RoleWe are seeking a highly skilled and detail-oriented Grievances and Appeals Representative to join our team at Humana. As a key member of our healthcare operations team, you will play a critical role in managing client denials and concerns by conducting comprehensive analytic reviews of clinical documentation.Key ResponsibilitiesConduct thorough...

Visual Specialist Role at The Container StoreAs a Visual Specialist at The Container Store, you will be responsible for leading the visual efforts in the store, ensuring that the visual presentation is reflective of the brand. Your key responsibilities will include:Key Responsibilities:Executing all new product introductions from a visual presentation...

Job Title: Network Relations SpecialistAt Elevance Health, we are seeking a skilled Network Relations Specialist to join our team. This role is responsible for developing and maintaining positive relationships with providers within our local health plan's LTSS/HCBS provider network.Key Responsibilities:Research and resolve operational issuesWork with...

Job SummaryWe are seeking a highly skilled and compassionate LTSS Service Coordinator to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for providing exceptional service coordination to individuals with specialized needs.Key ResponsibilitiesConduct face-to-face program assessments to identify individual...

Job Title: LTSS Service Coordinator-Dallas County, IAWe are seeking a highly skilled and compassionate LTSS Service Coordinator to join our team in Dallas County, IA. As a key member of our care coordination team, you will play a vital role in ensuring that individuals with long-term services and supports needs receive the highest quality care and...

Job SummaryWe are seeking a highly skilled Medical Coding Analyst to join our team at Telligen. As a Medical Coding Analyst, you will be responsible for conducting retrospective utilization and coding reviews for all inpatient and outpatient healthcare services.Key ResponsibilitiesPerform prospective, concurrent, or retrospective utilization review for all...

Job SummaryWe are seeking a highly skilled Medical Coding Analyst to join our team at Telligen. As a Medical Coding Analyst, you will be responsible for conducting retrospective utilization and coding reviews for all inpatient and outpatient healthcare services, including application of coding guidelines and/or clinical criteria, training/mentoring other...

{"title": "Network Relations Specialist", "content": "Job SummaryWe are seeking a skilled Network Relations Specialist to join our team at Elevance Health. In this role, you will be responsible for developing and maintaining positive relationships with providers within our local health plan's LTSS/HCBS provider network.As a Network Relations Specialist, you...

Ace Hardware Hickman Rd Job DescriptionWe are seeking a skilled Screen Repair Associate to join our team at Ace Hardware Hickman Rd. As a key member of our store team, you will be responsible for:Key Responsibilities:Repair and build window screens and screen doors to meet customer needsProactively assist customers in solving problems and providing excellent...

Director of Labor Relations Job DescriptionKeurig Dr Pepper is seeking a highly skilled and experienced Director of Labor Relations to join our team. As a key member of our HR department, you will be responsible for developing and implementing labor relations strategies that align with the company's goals and objectives.Key Responsibilities:Serves as...

Director of Labor RelationsKeurig Dr Pepper is seeking a highly skilled Director of Labor Relations to join our team. As a key member of our HR department, you will be responsible for developing and implementing labor relations strategies that align with our company's goals and objectives.Key Responsibilities:Serves as the primary spokesperson for labor...

About the RoleWe are seeking a highly skilled Clinical Pharmacist to join our growing Pharmacy team at Wellmark Blue Cross and Blue Shield. As a Clinical Pharmacist, you will play a critical role in supporting the management of our clinical strategies to strengthen our Medical and Pharmacy Drug Programs.About YouYou will have diverse clinical pharmacy...

Position OverviewAn esteemed healthcare organization is seeking a dedicated Hematology/Oncology Physician to become part of their reputable medical team. This role offers a supportive environment with a focus on patient care.Work ScheduleThe position entails a structured workweek from Monday to Thursday, 8 AM to 4:30 PM, and Friday, 8 AM to noon. The...

Position OverviewWe are seeking a dedicated Hematology/Oncology Physician to become part of a well-established regional healthcare organization. This role offers the opportunity to work alongside a supportive administrative team and healthcare staff.Work ScheduleThe position features a Monday to Thursday schedule from 8 AM to 4:30 PM and a Friday schedule...

Position OverviewA dedicated Hematology/Oncology Physician is needed to become part of a well-established regional healthcare organization. This role involves collaborating with a supportive administrative team and skilled staff.Work ScheduleThe position offers a balanced work schedule from Monday to Thursday, 8 AM to 4:30 PM, and Friday, 8 AM to noon. The...

About the RoleThe Wellmark Blue Cross and Blue Shield Pharmacy Team is responsible for designing and delivering pharmacy benefits and drug cost containment solutions for our groups and members. This includes development and maintenance of custom formularies and utilization management, rebate strategies, PBM management and oversight, education and...

Job OverviewWe are seeking a highly skilled and dedicated Customer Support Specialist to join our team at Revitalize Med Spa and Salon. As a key member of our customer service team, you will be responsible for providing exceptional support to our customers, ensuring their needs are met, and exceeding their expectations.Key ResponsibilitiesMaintain accurate...

About the RoleWe are seeking a highly skilled Clinical Pharmacist to join our growing Pharmacy team at Wellmark Blue Cross and Blue Shield. As a Clinical Pharmacist, you will play a critical role in supporting the management of our clinical strategies to strengthen our Medical and Pharmacy Drug Programs.About YouWe are looking for a talented and experienced...

Job Title: Environmental EngineerWe are seeking a highly skilled Environmental Engineer to join our team at Veenstra and Kimm, Inc. Our team works on a wide range of civil, municipal, and environmental projects, and we are looking for a Professional Engineer who can work with our team of Engineers, CAD Technicians, Construction Observers, Land Survey Chiefs,...

Job SummaryWe are seeking a highly organized and detail-oriented Administrative Specialist to provide administrative support to our executive staff and ensure the efficient operation of our organization.About UsRevitalize Med Spa and Salon is a leading provider of cosmetic services, committed to delivering exceptional results and exceeding customer...