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1 - 10 of 10 matches in 0.007 seconds
Medical Management Specialist I - Govenment Progra (6908262)
Last Updated: 2019-10-11
Employer: Health Care Service Corporation
Location: Marion, IL

Description:

We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health…

Human Resources Intern (6899899)
Last Updated: 2019-10-08
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

The Internship Program with WPS Health Solutions is comprised of four key components. WPS interns will primarily focus on the responsibilities within their functional areas, as it relates to their respective field of study. In a group setting, interns will collaborate on the “Pay-It-Forward Project” – the development…

Customer Service Representative - Starting Pay $15 (6895837)
Last Updated: 2019-10-07
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

Establish and maintain rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards.

In this role you will:

Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication…

Authorization Review Nurse (RN) - Remote Work Avai (6887102)
Last Updated: 2019-10-03
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary

The Authorization Review Nurse reviews medical cases to determine authorizations for veterans and their families. In addition, the Authorization Review Nurse will provide education and customer support to providers and beneficiaries.

Remote work offered in the states of Wisconsin, Illinois, and Nebraska ONLY

In this role you will:

Medical Management Specialist I - Govenment Progra (6882431)
Last Updated: 2019-10-01
Employer: Health Care Service Corporation
Location: Marion, IL

Description:

We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health…

Customer Service Representative - Starting pay $15 (6877924)
Last Updated: 2019-09-30
Employer: WPS Health Solutions
Location: West Frankfort, IL

Role Summary:

This position will respond to telephone inquiries from providers or representatives. Establish and maintain rapport with contacts and present a favorable corporate image. Educate customers on coverage, claim submission, and use of self-service offerings.

In this role you will:

  • Receive and respond to a wide range of provider…
Senior Nurse Analyst (RN) - Remote Work Available (6870885)
Last Updated: 2019-09-26
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary

This role interprets medical records, policy, and current medical literature to make benefit and payment determinations based on clinical judgment and research.

Remote work available in the states of Wisconsin, Illinois, and Nebraska.

In this role you will:

  • Interpret medical and surgical records to make appropriate benefit and…
Medical Management Specialist I - Government Progr (6868070)
Last Updated: 2019-09-25
Employer: Health Care Service Corporation
Location: Marion, IL

Description:

We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health…

Medical Director (6865634)
Last Updated: 2019-09-24
Employer: WPS Health Solutions
Location: West Frankfort, IL

Role Summary:

The Medical Director is a physician leader with expert knowledge in Medicare appeals and regulations. The Medical Director is responsible for clinical coverage determinations and staff trainings on clinical matters and collaborating with medical societies and peer groups to share information and provide education.

In this role you

Workforce Management Analyst (6854923)
Last Updated: 2019-09-19
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

Responsible for short-term workforce forecasting and staff scheduling utilizing industry approved methodologies. Support proper metrics and criteria used to maintain daily, weekly, and monthly reports to forecast staffing needs for WPS Military and Veterans Health (MVH) division.

In this role you will:

Forecasting & Scheduling (50%)

Legend

  • Registered Apprenticeship