Medicare Advantage EDI Operations Specialist

Medicare Advantage EDI AnalystTake your career to the next level at UCLA Health, a world-renowned health system with a strong commitment to excellence.As a key member of our Medicare Advantage Operations team, you will play a critical role in maintaining and running processes for electronic claims and other EDI transactions.Responsibilities include working...

Unlock Your Potential in Healthcare OperationsAs a key member of our Medicare Advantage Operations team at UCLA Health, you will play a pivotal role in elevating the operational effectiveness of our complex health system. This is an exceptional opportunity to take your professional expertise to the next level and make a meaningful impact in the healthcare...

Job SummaryAs a Counsel II for Medicare Advantage, you will provide legal support for Medicare Advantage managed care plans, coordinating with colleagues in other legal practice groups to ensure seamless delivery of legal advice to an integrated care system. You will provide guidance on issues concerning the regulatory and operational matters of Medicare...

Job SummaryWe are seeking a highly skilled and detail-oriented individual to join our team as a Medicare Advantage Senior Contact Center Representative. As a key member of our customer service team, you will be responsible for addressing and resolving complex member inquiries, providing detailed information on intricate health plan benefits, and ensuring a...

We are seeking an experienced EDI Integration Specialist to join our team at Diverse Lynx. The ideal candidate will have a strong background in EDI, IBM Sterling, and integration technologies.Key Responsibilities:Design and implement EDI integration solutions using IBM Sterling and other technologies.Collaborate with cross-functional teams to ensure seamless...

About the RoleAs a Medicare Sales Representative at AMBA, you will play a vital role in helping seniors and individuals with disabilities navigate the complex world of Medicare. Your expertise will be instrumental in ensuring that our clients receive the best possible healthcare coverage for their needs and budget.Key ResponsibilitiesWork with seniors and...

Job OverviewWe are seeking a highly organized and detail-oriented EDI Entry Associate to join our team at MM International.Key Responsibilities:Download customer orders from SPS Commerce EDI and manually organize data into a master file.Compare order quantities to warehouse inventory balance reports to verify order fulfillment status.Enter data accurately...

Job Title: Supervisor, EDI ClaimsMedPOINT Management is seeking a highly skilled and experienced Supervisor, EDI Claims to join our team. As a key member of our HIT Operations department, you will be responsible for overseeing the day-to-day activities of the EDI Claims team, ensuring timely and accurate processing of electronic claims in the EZ-CAP...

About the RoleAs a Medicare Sales Representative at AMBA, you will play a vital role in helping seniors navigate the complexities of Medicare and find the right health insurance plan to meet their needs.Key ResponsibilitiesWork with seniors to determine their eligibility for Medicare benefits and help them choose a plan that meets their needs.Collaborate...

About the RoleWe are seeking a highly skilled Medicare Sales Retention Specialist to join our team at Blue Shield of California. As a key member of our Direct Sales Enrollment team, you will play a critical role in implementing retention-based strategies to increase member retention and reduce disenrollment.Key ResponsibilitiesDevelop and execute outbound...

Job SummaryThe Product Solutions Manager III is a key member of the Product Strategy, Sales and Marketing (PSSM) service area and the enterprise. This role is responsible for assisting the product leadership team in supporting ongoing operations of assigned product lines, bridging the gap between state requirements and future state alternatives. The Product...

Job Title: Key Account Sales SpecialistJoin Advantage Solutions, one of North America's leading sales and marketing agencies, as a Key Account Sales Specialist. In this role, you will be responsible for driving revenue growth and market share for our clients in the grocery, mass merchandise, and specialty channels.Key Responsibilities:Develop and implement...

Job DetailsLevel: ExperiencedJob Location: Main Hospital - Los Angeles, CAPosition Type: Full TimeEducation Level: High SchoolDescriptionWe are seeking a skilled and motivated Patient Accounts Billing Representative II to join our team at Gateways Hospital and Mental Health Center. As a key member of our financial services team, you will be responsible for...

Job Title: Japanese Bilingual Bookkeeping SpecialistAdvantage Technical is seeking a highly skilled Japanese Bilingual Bookkeeping Specialist to join our team. As a key member of our team, you will be responsible for providing exceptional bookkeeping and accounting services to our diverse clientele.Key Responsibilities:Communicate with clients to maintain...

About Specialist DirectSpecialist Direct, Inc. is a pioneering telehealth company revolutionizing organ transplant care in the US. Founded in 2015, our cloud-based diagnostic solutions have significantly improved organ utilization and placement rates.The RoleWe are seeking a seasoned Client Support Manager to lead our 24/7 Client Support team. As a key...

Job Title: Head of Medical BillingCircadia Health is a medical device and data technology company that has developed the world's first FDA cleared contactless remote patient monitoring system.We're monitoring over 20,000+ lives daily and growing rapidly. As we scale our team, Circadia is looking for energetic, personable, and solutions-oriented individuals...

Job SummaryWe are seeking a highly motivated and detail-oriented Prior Authorization Coordinator to join our team at UCLA Health.As a Prior Authorization Coordinator, you will play a critical role in ensuring the efficient operation of our complex health system. You will be responsible for processing prior authorization requests with accuracy and timeliness,...

Provider Enrollment SpecialistTake your career to the next level at UCLA Health, a world-renowned health system with a reputation for excellence. As a Provider Enrollment Specialist, you will play a critical role in facilitating the enrollment of physicians and practitioners, ensuring seamless operations and exceptional patient care.Key...

Job Title: Key Account Sales SpecialistJoin our team at Advantage Solutions, a leading sales and marketing agency in North America, as a Key Account Sales Specialist. In this role, you will be responsible for driving revenue growth and improving client relationships.Key Responsibilities:Analyze data to identify trends and opportunities for improvement, and...

Global Accounts Payable Specialist IIA global professional services firm seeks a skilled Global Accounts Payable Specialist II to join their dynamic team. This role is an integral part of the firm's Accounts Payable team and will be responsible for performing professional and complex accounting and accounts payable duties which require familiarity with...