medicar

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Peru, IN. This role offers the freedom to balance professional goals with a flexible schedule, travel to patients’ homes, and a supportive team.NPs will perform comprehensive, non-invasive assessments, review...

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Peru, IN. This role offers the freedom to balance professional goals with a flexible schedule, travel to patients’ homes, and a supportive team.NPs will perform comprehensive, non-invasive assessments, review...

Pharmacy Cost Containment AnalystRegularExempt GENERAL DESCRIPTION:Analyze claims and payment data to ensure payment integrity and cost containment within the unit. Responsible for preparing reports and converting the regulatory data into useful and actionable information to support management in decision-making and achieve the company's business...

Classicare Enrollment & Eligibility Analyst - TemporaryTemporary - ReplacementNon-Exempt GENERAL DESCRIPTION:Responsible for the accurate and timely administration of enrollment, disenrollment, eligibility, and benefit maintenance processes in compliance with federal, state, Center for Medicare and Medicaid Services (CMS), Puerto Rico Health Services...

Coding & Payment Rule SpecialistRegularExempt GENERAL DESCRIPTION:The Coding & Payment Rule Specialist is responsible for identifying coding guidelines established by the American Medical Association's (AMA) standard classification systems (ICD-10, CPT, HCPCS) and payment rules established by the Centers for Medicare & Medicaid Services (CMS) for the proper...

Company Description Join an Award-Winning Personal Injury Law Firm At The Ward Law Group, our mission is simple: Changing Lives. One Client at a Time Recognized as one of the Best Places to Work for consecutive years, we are committed to delivering exceptional legal representation while creating an environment where talented professionals can grow, lead,...

Clinical Trials (Business Development Experienced) Now Hiring: Remote Business Development Specialist – Clinical Trials (Part-Time/Full-Time) Are you a results-driven professional with a passion for healthcare and sales? Join our team as a Business Development Specialist and help expand our clinical trials network!Position: Remote...

Customer Service Representative OutboundRegularNon-Exempt GENERAL DESCRIPTION:Responsible for providing guidance and orientation to individuals or members of Medicare and MCS Life products. This includes conducting satisfaction surveys and regulated calls while ensuring compliance with quality, experience, and service standards set by the company and the...

Clinical Trials (Business Development Experienced)Now Hiring: Remote Business Development Specialist – Clinical Trials (Part-Time/Full-Time) Are you a results-driven professional with a passion for healthcare and sales? Join our team as a Business Development Specialist and help expand our clinical trials network!Position: Remote Business Development...

Join an Award-Winning Personal Injury Law FirmAt The Ward Law Group, our mission is simple: Changing Lives. One Client at a TimeRecognized as one of the Best Places to Work for consecutive years, we are committed to delivering exceptional legal representation while creating an environment where talented professionals can grow, lead, and make a meaningful...

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Peru, IN. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms,all while enjoying a schedule designed with your preferences in mind.Whether it be...

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Peru, IN. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms,all while enjoying a schedule designed with your preferences in mind.Whether it be...

Join an Award-Winning Personal Injury Law FirmAt The Ward Law Group, our mission is simple: Changing Lives. One Client at a TimeRecognized as one of the Best Places to Work for consecutive years, we are committed to delivering exceptional legal representation while creating an environment where talented professionals can grow, lead, and make a meaningful...

Utilization Management SpecialistRegularExempt GENERAL DESCRIPTION:Conducts prospective reviews (preauthorization’s) of items or services provided to beneficiaries using the Clinical Guidelines criteria for assessing medical necessity. Determines the appropriate level of care according to the severity of the subscriber’s condition. Ensures the...

Director of Patient Care Services needed in Monterey CA (Carmel area) 93940. We will provide relocation services. Company is a leader in the Home Health industry, very reputable and established company. They have a great benefit package and 2 annual bonuses. The Director of Patient Care Services (DPCS) in Home Health provides oversight and support of all...

Transitional Care SpecialistRegularExempt GENERAL DESCRIPTION:Responsible for identifying and managing discharged insureds in the Classicare business line. Responsible for coordinating the needs of discharged insureds from all business lines. ESSENTIAL FUNCTIONS:•Identifies discharged insureds who apply to the transitional care program (who do not have...

Pharmacy Cost Monitoring TechnicianRegularNon-Exempt GENERAL DESCRIPTION:Responsible for the monitoring and implementation of regulatory processes such as Explanation of Benefits (EOB), Maximum Out of Pocket (MOOP), and Financial Information Report (FIR) transactions. Monitor monthly invoices, validate, and create Likely to Benefit (LTB) letters for the...

PCP Network Relations Specialist - AguadillaRegularExempt GENERAL DESCRIPTION:Responsible for supporting providers in identifying opportunities for improvement and promoting the optimal quality of service to our members through direct and regular contact with them and their work teams. Serves as the main link between physicians and the Company to build and...

Claims Analyst IIIRegularNon-Exempt GENERAL DESCRIPTION:Analyzes, processes, and adjudicates all types of complex claims submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, applying the highest level of analytical judgment to determine appropriate payment or denial. This includes the...

We are hiring Bilingual Patient Services Representatives to join a growing healthcare support team in a fully remote role based in Mexico.In this position, you will serve as an important point of contact for patients and healthcare providers, supporting both inbound patient calls and proactive outbound outreach. You will help patients with appointments,...