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Search parameters used for this particular query: Mcs Healthcare Holdings Llcjob / career / vacancy; job location: United States of America (USA). We found several listings that are shown below (part time / full time jobs / jobs near me).
Job Description: Analyzes claims and/or adjustments in 1500, UB04 format and member reimbursements by applying payment rules for payment adjudication and denial and /or requests…
Job Description: Responsible for providing an excellent service when answering requests from policyholders, members, and providers through phone calls received.
Job Description: Performs a benefit review per group for the preparation and/or writing in Spanish and English of information in the Policies, Certificates of Insurance,…
Job Description: Responsible for the monitoring of the various strategies/initiatives to ensure compliance of contacts to the SNP population to complete their HRA/CHRA,…
Job Description: Provided technical guidance to the organization in designing and implementing strategic solutions based on data analysis that supports the company in the goals…
Job Description: Answers and makes telephone calls to participating and non-participating providers offering services in the service area and outside the plan service area, as…
Job Description: Represents MCS in official service procedures and renewals of government and commercial groups assigned. Develop strategies to present renewal proposals.
Job Description: Responsible for monitoring the activities and processes related to the connections and services provided in the operation of the Call Centers.
Job Description: Responsible for installing, managing, and optimizing enterprise servers and related components to achieve high performance of various business applications,…
Job Description: Responsible for the staff under their charge. Ensures that their employees answer or make calls on time in the MCS Call Center (Classicare, Commercial, and…
Job Description: Manages, maintains, and ensures the performance of all database engines. Maintains data availability and replication across platforms.
Job Description: Detect and evaluate possible fraudulent activities and/or potential violations of applicable laws or regulations, including cases of potential financial…
Job Description: Answers transferred telephone calls from policyholders of Classicare’s line of business. Offers extended benefits orientation to clarify doubts of Classicare…
Job Description: Receives, processes, and resolves requests from other business units and assigned tasks in an efficient and timely manner, ensuring that the information…
Job Description: Manages and solves requests from visits, calls, or referrals from other areas of MCS related to the COBRA Law. ✓ Reviews and analyzes the reports.
Job Description: Leads orientations and presentations to sell and/or renew MCS Advantage’s line of business products to potential clients or beneficiaries (as applicable) that…
Job Description: Manages interventions and/or calls to clients (beneficiaries, providers, pharmacies) to promote the correct use of medications and in accordance with the…
Job Description: Receives and attends calls from clients (insured parties, medical providers, specialized pharmacies) related to the medication management process.
Job Description: Supervises, coordinates, implements, and monitors activities and processes related to customer service offered in the Classicare, Commercial, and/or Providers…
Job Description: Responsible for preparing documents required for the implementation process of new business groups. Coordinate and ensure that all post-sale documentation, such…
Job Description: Responsible for supervising and overseeing eligibility file processes sent to First Tier Downstream, and Related Entities (FDRs), and Third-party Administrators…
Job Description: Responsible for providing an excellent service when answering requests from policyholders, members, and providers through phone calls received.
Data as of 2023-12-03 (Cached) with id 113298. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.
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