Coordinate integrated behavioral health services for Detroit Wayne members across assessments, care transitions, community referrals, and compliance requirements.
MES Solutions is hiring a Clinical Quality Assurance Coordinator to review medical peer-review reports, validate evidence-based documentation, and support regulatory compliance. This full-time remote role serves Massachusetts-based operations.
Review Medicaid authorizations and medical necessity for Community Health Network of Connecticut members. Apply InterQual criteria and coordinate provider communications about coverage decisions and denials.
United States
CaliforniaManage payroll processing, audits, grant tracking, and financial reporting for a nonprofit federally qualified health center serving Santa Cruz County.
Uniguest is seeking a senior accounts payable specialist to oversee full-cycle payables, including invoices, payments, reconciliations, compliance, and month-end close.
United States
ArizonaCalifornia
Nevada
New Mexico
Oregon
Texas
WashingtonBoomerang Healthcare seeks a remote AR Specialist to manage California Medicare, Commercial, and Workers’ Compensation claims within its multidisciplinary pain-care services. The role focuses on payer follow-up, denial resolution, appeals, and reimbursement improvement.
Review clinical peer-review documentation for MES, a provider of medical examination and peer-review services. Support evidence-based quality, regulatory compliance, and accurate reporting.
GermanyChief Operating Officer for a German metal supplier with two plants. Oversees production, supply chain, quality, and occupational safety across automotive and defense-technology operations.
Humana is hiring a Field Service Coordinator to assess Indiana members’ needs and coordinate healthcare, LTSS, and community resources. The role supports Medicaid eligibility, service planning, and positive health outcomes.
Senior representative responsible for pharmacy claims, collections, appeals, and reimbursement follow-up across Evernorth’s specialty pharmacy and home infusion services. The role manages accounts receivable and payer activity to support accurate payment resolution.
