Medicare Advantage Operations Specialist

Medicare Advantage EDI Operations SpecialistUCLA Health is seeking a highly skilled EDI Operations Specialist to join our Medicare Advantage Operations team. As a key member of our team, you will be responsible for maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading...

About the JobWe are seeking a skilled MEDICARE ADVANTAGE COORDINATOR to join our team at NxT Level. As a key member of our customer service team, you will play a vital role in ensuring that our members receive exceptional support and care.In this position, you will navigate our members through their Medicare Advantage plans, addressing any questions or...

About the RoleCareer Advantage is a full-service staffing agency that provides comprehensive staffing solutions in Los Angeles and the surrounding areas. We're seeking a talented HR Coordinator to join our team and support our business growth.The HR Coordinator will be responsible for managing human resources operations, providing oversight for...

About the PositionWe are seeking a highly skilled Healthcare Navigation Specialist to join our team at NxT Level. In this role, you will be responsible for guiding our members through their healthcare journey, providing support and guidance every step of the way.Your primary focus will be on navigating our members through their Medicare Advantage plans,...

Job SummaryE-talentnetwork is hiring a Healthcare Coordination Specialist to lead our utilization management efforts. As a key member of our team, you will play a vital role in ensuring high-quality patient care while navigating complex healthcare regulations.About the PositionThis is a 2-month contract with the possibility of extension. The ideal candidate...

About the JobWe are looking for a seasoned professional with 4+ years of experience in Health Plan Operations, including Medicare D Operations, TPA/BPO management, vendor management, data and systems management, utilization management, and enrollment oversight. The ideal candidate will have a Bachelor's degree or higher and be able to lead collaboration and...

Job DescriptionCareer Advantage Inc. is a dynamic staffing agency in Los Angeles seeking a skilled Talent Acquisition Specialist to join our team. As a key player in our recruitment process, you will be responsible for sourcing, attracting, and hiring top talent for our clients and internal positions.This role requires a strong understanding of recruitment...

Job SummaryWe are seeking a highly motivated Behavioral Health Support Specialist to join our team at Advantage Behavioral Health. This is a full-time position that requires a strong understanding of mental health principles and excellent communication skills.ResponsibilitiesSchedule Management: Monitor and direct the daily schedule of clients, ensuring...

Job Summary:We are seeking a skilled Mental Health Care Specialist to join our team at Advantage Behavioral Health Network.About the Role:The successful candidate will be responsible for providing support and care to clients in various stages of mental health treatment.This is a full-time position with a competitive salary range of $45,000 - $60,000 per...

Job Summary: We are seeking a highly skilled Medical Management Specialist to join our team at E-talentnetwork. This role is responsible for ensuring appropriate, cost-effective, and high-quality care for patients.About the Role:This position involves conducting utilization management activities in accordance with health plan policies and regulatory...

Job SummaryWe are seeking an experienced Talent Acquisition Specialist to join our team at Career Advantage Inc. in Los Angeles.About the RoleRecruit and select top talent to fill open positions.Develop and implement effective recruitment strategies.Build relationships with internal stakeholders to understand hiring needs.Source candidates through various...

About E-talentnetwork">We are seeking a skilled Healthcare Operations Coordinator to join our team on a 2-month contract with the possibility of extension.About the Role:This role involves ensuring that New Century Health Plan members receive high-quality, cost-effective care. You will conduct utilization management activities in line with health plan...

Job OverviewCareer Advantage Inc. is a leading staffing agency in Los Angeles seeking an experienced HR Operations Manager to join our team. As a key member of our HR department, you will be responsible for managing the day-to-day operations of our HR functions, ensuring seamless execution and high-quality service delivery.This role requires a strong...

About the RoleWe are seeking a highly skilled Senior Financial Reporting Specialist to join our team at HR Advantage, LLC. This is an exciting opportunity to work on complex financial reporting projects and contribute to the growth of our organization.Job SummaryThe Senior Financial Reporting Specialist will be responsible for preparing periodic filings with...

About the RoleCareer Advantage Inc. is a full-service staffing agency providing comprehensive staffing solutions in Los Angeles and surrounding areas. We are looking for an HR Coordinator to manage human resources duties, including recruitment, employee relations, benefits administration, and policy development.The successful candidate will have a four-year...

We are seeking a skilled Healthcare Access Specialist RN II to join our team at L.A. Care Health Plan.About UsL.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.As the nation's largest publicly operated health plan, we serve over 2 million members and...

Join Our Team: Advantage Resourcing Norwalk is seeking a highly motivated and customer-focused Customer Service Representative to join our team in Commerce, CA. If you are looking for a challenging and rewarding role, we encourage you to apply.About the Position: As a Customer Service Representative, you will play a critical role in providing exceptional...

Job OverviewAt MedPOINT Management, we are seeking a skilled Healthcare Contract Specialist to join our team. This role offers the opportunity to work in a collaborative environment with competitive salaries and benefits.This position requires a strong background in Managed Care and Healthcare experience in Network Management or Contracting. The ideal...

About the Role:We are seeking a skilled Certified HCC Coder to join our team at To Help Everyone Health & Wellness Centers in South Los Angeles. As a key member of our coding department, you will be responsible for accurately assigning codes to medical records and ensuring compliance with regulatory guidelines.Responsibilities:Conduct thorough audits of...

Job SummaryThe Personal Injury and Healthcare Lien Specialist will be responsible for managing and resolving statutory and private healthcare liens and other liens arising from personal injury, medical malpractice, and related cases.Key ResponsibilitiesOversee and monitor Lien Resolution, including healthcare liens (such as those relating to Medicare,...