Talent.com
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsFullerton, California, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.

Key Responsibilities :

Develop, configure, and maintain healthcare plan designs and benefit configurations

Ensure plan configurations support auto adjudication and comply with regulations

Perform testing of plan configurations to ensure accurate claims adjudication

Required Qualifications :

Associate's degree in healthcare administration, information systems, or a related field

Minimum of 2 years of experience in plan building and system configuration in healthcare

Strong knowledge of healthcare policies and compliance requirements

Proficiency in healthcare management systems and software

Experience with auto adjudication systems and technologies preferred

serp_jobs.job_alerts.create_a_job

Configuration Specialist • Fullerton, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Complex Claims Consulting Director - Healthcare

Complex Claims Consulting Director - Healthcare

CNALos Angeles, CA, US
serp_jobs.job_card.full_time
Complex Claims Consulting Director.You have a clear vision of where your career can go.And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Retirement Plan Specialist

Retirement Plan Specialist

Voya FinancialLos Angeles, CA, US
serp_jobs.job_card.part_time
Retirement Plan Specialist for the Tax Exempt Market.Together we fight for everyones opportunity for a better financial future. We will do this together with customers, partners and colleagues.We w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Health Planner

Senior Health Planner

HDRLos Angeles, CA, US
serp_jobs.job_card.full_time +1
At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and n...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Healthcare Sales Specialist

Healthcare Sales Specialist

VeracityRosemead, CA, US
serp_jobs.job_card.full_time
Rosemead, California Full Time.We are seeking Outreach Specialists that ideally have outside sales and marketing experience. The Healthcare Sales Specialist (internally known as an Outreach Speciali...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Contracts Specialist- Healthcare Plan

Contracts Specialist- Healthcare Plan

JSG (Johnson Service Group, Inc.)Orange, CA, US
serp_jobs.job_card.temporary
JSG is seeking a Healthcare Plan Contracts Specialist for a 6 month-onsite consulting opportunity in Orange County, CA.Evaluates out of network requests from medical management, assesses in-network...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Healthcare Sales Specialist

Healthcare Sales Specialist

ExecuSearch of ChicagoRosemead, CA, US
serp_jobs.job_card.full_time
Our client provides life-extending health care to our most vulnerable seniors.Through their innovative model of care, our client serves as both the health plan and the provider, allowing participan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
HL7 Integration Specialist (Los Angeles)

HL7 Integration Specialist (Los Angeles)

Pyramid Consulting, IncLos Angeles, CA, US
serp_jobs.job_card.part_time +1
Please review the job description below and contact me ASAP if you are interested.Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and pai...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Healthcare Sales SpecialistLos Angeles, CA, USA

Healthcare Sales SpecialistLos Angeles, CA, USA

WelbeHealthLos Angeles, CA, US
serp_jobs.job_card.full_time
WelbeHealth provides life-extending health care to our most vulnerable seniors.Our PACE model of care is unique, in that we are the health plan and the provider of primary care services that allow ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Project Manager

Healthcare Project Manager

Perfict GlobalLos Angeles, CA, US
serp_jobs.job_card.full_time
Perfict Global is a leading IT consulting services provider focused on providing innovative and successful business workforce solutions to Fortune 500 companies. Our trained and experienced professi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Information Specialist

Health Information Specialist

Pride HealthCosta Mesa, CA, United States
serp_jobs.job_card.temporary
Health Information Management Technician II.This is a 3-month contract with the possibility of an extension, competitive pay and benefits, and a great way to start working with a top-tier healthcar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Audit Partner - Healthcare

Audit Partner - Healthcare

RSMLos Angeles, CA, US
serp_jobs.job_card.full_time
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their ful...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Project Manager

Healthcare Project Manager

Metric GeoLos Angeles, CA, United States
serp_jobs.job_card.full_time
Architectural Project Manager – Healthcare.A well-established architecture and engineering firm is seeking an experienced. This is an opportunity to lead healthcare projects in California.Manage hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Health Planner

Health Planner

HDRLos Angeles, CA, US
serp_jobs.job_card.full_time
At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and n...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Project Architect

Healthcare Project Architect

Bancroft Staffing Partners (BSP)Los Angeles, CA, United States
serp_jobs.job_card.full_time
We are a nationally recognized architecture and design practice with a reputation for delivering innovative, human-centered solutions in healthcare and beyond. Our teams are trusted to design and de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Healthcare Project Architect

Healthcare Project Architect

Northern ImpactLos Angeles County, CA, United States
serp_jobs.job_card.full_time
The 50+ person growing studio is seeking a Healthcare Project Architect (licensure preferred) to join their growing collaborative firm!. The position could be located in either the LA or San Diego o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Specialty Health Plans Auditor III Claims

Specialty Health Plans Auditor III Claims

LOS ANGELES CARE HEALTH PLANLos Angeles, CA, US
serp_jobs.job_card.full_time
Specialty Health Plans Auditor III Claims.The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution, reporting and corrective action plans monitoring of cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Audit Readiness Specialist

Audit Readiness Specialist

LOS ANGELES CARE HEALTH PLANLos Angeles, CA, US
serp_jobs.job_card.full_time
Customer Solution Center Audit Readiness Specialist II.The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the guidelines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Construction Manager

Healthcare Construction Manager

AECOMLos Angeles, CA, US
serp_jobs.job_card.full_time
Healthcare Construction Manager.At AECOM, we're delivering a better world.Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
HL7 Integration Specialist

HL7 Integration Specialist

Pyramid Consulting, IncLos Angeles, CA, United States
serp_jobs.job_card.temporary
Please review the job description below and contact me ASAP if you are interested.Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and pai...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Integrated Planning & Scheduling Specialist

Integrated Planning & Scheduling Specialist

Clearance JobsHuntington Beach, CA, US
serp_jobs.job_card.full_time
Integrated Planning & Scheduling Specialist.We are seeking a highly experienced and strategic Integrated Planning & Scheduling Specialist to join the Chief Technology Office (CTO) IP&S team support...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30