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Accident Fund Holdings, Inc Jobs
Jobs 1 to 11 of 13

Accident Fund Holdings, Inc Jobs

Jobs 1 to 11 of 13

Southfield, Michigan

SUMMARY: Support BCBSM and BCNA providers (pharmacists and physicians) with Medicare Part D drug coverage inquiries, Grievances, and prior authorizations. RESPONSIBILITIES/TASKS: Answer telephones...

2016-12-017 days ago
Glen Allen, Virginia

SUMMARY: The Appeals and Grievance Analyst, acting in a quality assurance capacity, is responsible for the processing Appeals and Grievances by evaluating the organization's initial decisions...

2016-12-018 days ago
Southfield, Michigan

SUMMARY: The purpose of the Medicare Part D PGY1 residency program is to empower and educate the resident in all areas of Medicare Part D practice, including but not limited to: Formulary...

2016-12-01Yesterday
Glen Allen, Virginia

SUMMARY: The Appeals and Grievance Analyst, acting in a quality assurance capacity, is responsible for the processing Appeals and Grievances by evaluating the organization's initial decisions...

2016-12-01Yesterday
Glen Allen, Virginia

SUMMARY: The HEDIS Expert Analyst is responsible for project coordination and contribution to the annual HEDIS audit and Medical Record Review (MRR) project functions including, but not limited to,...

2016-12-01Yesterday
Glen Allen, Virginia

SUMMARY: Responsible for oversight and coordination of all activity related to development and maintenance of medical policy and benefit interpretation in accordance with BCN certificates, riders,...

2016-12-012 days ago
Southfield, Michigan

SUMMARY: Responsibilities include providing clinical and educational support assessments, analysis and coordination of the quality management program and assisting in the divisional accreditation...

2016-12-012 days ago
Southfield, Michigan

SUMMARY: The Group Medicare Account Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. This role...

2016-12-012 days ago
New Berlin, Wisconsin

SUMMARY: ***This is a field position and is eligible for a company vehicle plan** Ergonomic Causation Specialist This position will serve as a technical expert with regard to ensuring...

2016-12-013 days ago
Lansing, Michigan

SUMMARY: Responsible for utilizing the nursing process in the development of treatment plans, with established goals, implementation, monitoring and evaluation of an assigned patient case loads in...

2016-12-014 days ago
Glen Allen, Virginia

SUMMARY: Organize and coordinate activities to ensure full compliance with all regulatory and licensing agencies (e.g., CMS, MDCH, and NCQA) and employer groups relative to medical management...

2016-12-014 days ago
Southfield, Michigan

SUMMARY: Support BCBSM and BCNA providers (pharmacists and physicians) with Medicare Part D drug coverage inquiries, Grievances, and prior authorizations. RESPONSIBILITIES/TASKS: Answer telephones...

2016-12-017 days ago
Richmond, Virginia

SUMMARY: The Expert Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support Risk Adjustment business strategy. This role also coordinates...

2016-12-019 days ago
Richmond, Virginia

SUMMARY: The HEDIS Expert Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. This role also...

2016-12-0110 days ago
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