Career Center

Job Seeker Employer
Job Seekers, Welcome to AMCP Career Center
Search Browse Explore Map Your Job Alerts Your Saved Jobs
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 403 Jobs
Create Alert
Clinical Pharmacist:Government Programs/Medicaid Specialist & High Cost Claimant Pharmacy PM IV
Medica

Minnetonka, Minnesota

Director, Pharmacy Benefits and Innovation
Blue Cross Blue Shield of Arizona

Phoenix, Arizona

Optum Logo
Endocrinologist - Oregon Medical Group - Eugene, OR
Optum

Eugene, Oregon

NEW!
Beebe Healthcare Logo
DENIALS MANAGEMENT SPECIALIST - BUSINESS SERVICES
Beebe Healthcare

Lewes, Delaware

NEW!
Optum Logo
Primary Care Physician - WellMed Medical Group - Brownsville, TX
Optum

Brownsville, Texas

NEW!
WakeMed Health & Hospitals Logo
Your career. Made up of quality, care and compassion.
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
Optum Logo
Outpatient Primary Care Physician - WellMed- Land O' Lakes, FL-
Optum

Land O Lakes, Florida

NEW!
MultiCare Health System Logo
Referral Coordinator
MultiCare Health System

Tacoma, Washington

NEW!
Optum Logo
Primary Care Physician -Optum- Poinciana, FL (near Orlando)
Optum

Kissimmee, Florida

NEW!
Optum Logo
Primary Care Float Physician - Optum - Tampa, FL
Optum

Tampa, Florida

NEW!
Sonic Healthcare USA Logo
Administrative Support (Sales) - Full-Time - Houston | Bilingual Spanish Speaking Preferred
Sonic Healthcare USA

Houston, Texas

NEW!
AdventHealth Logo
Credentialing Specialist
AdventHealth

Orlando, Florida

NEW!
St. Luke's Health System Logo
Registered Nurse - MotherBaby, Boise
St. Luke's Health System

Boise, Idaho

NEW!
Optum Logo
Primary Care Physician - Optum - Lake Mary, FL
Optum

Orlando, Florida

NEW!
WakeMed Health & Hospitals Logo
Your career. Made up of quality, care and compassion.
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
St. Luke's Health System Logo
Registered Nurse - Chemo Infusion, Boise (Full-time)
St. Luke's Health System

Boise, Idaho

NEW!
St. Luke's Health System Logo
Registered Nurse - Pediatric Urology Clinic, Part-Time
St. Luke's Health System

Boise, Idaho

NEW!
WakeMed Health & Hospitals Logo
Your career. Made up of quality, care and compassion.
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
St. Luke's Health System Logo
Registered Nurse - Med / Surg, Mountain Home - Part Time
St. Luke's Health System

Mountain Home, Idaho

NEW!
Sonic Healthcare USA Logo
Administrative Support (Sales) - Full-Time - San Antonio
Sonic Healthcare USA

San Antonio, Texas

NEW!
MultiCare Health System Logo
Surgery Scheduler
MultiCare Health System

Spokane, Washington

NEW!
Optum Logo
Internal Medicine Physician - OptumCare Medical Group - Vista, CA
Optum

Vista, California

NEW!
Akron Children's Hospital Logo
PSR I, Urgent Care
Akron Children's Hospital

Warren, Ohio

NEW!
Optum Logo
Pharmacist - Redlands, CA
Optum

Redlands, California

NEW!
Optum Logo
Outpatient Primary Care Physician - WellMed - Tampa, FL
Optum

Tampa, Florida

NEW!
Load More
Clinical Appeals Specialist
DescriptionSummary:This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of communication.Research and provide resolution to issues such as claim denials, member and provider complaints, and reconsideration and redetermination requestsReview and respond to complaints, grievances and appeals within the stated time frame for each requestEnsure 95% compliance with the Center for Medicare and Medicaid Se


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Powered By Naylor Association Solutions