NewBusiness Consultant (Remote) Blue Cross and Blue Shield AssociationBusiness Consultant (Remote)DCRemote$88,848–$176,462 / yearWorking under the direction of the Director, Medical Review and Appeals, the Business Consultant helps drive initiatives that support accurate, timely, and compliant handling of appeals and grievances across Medicare and Medicaid lines of business. This role serves as a key liaison between the Appeals and Grievances team and interdisciplinary partners including Claims Operations, Service Operations, Utilization Management, Payment Integrity, and Compliance to improve process efficiency, support regulatory compliance, and strengthen operational performance.
NewUtilization Management Administration Coordinator - SNF HumanaUtilization Management Administration Coordinator - SNFWashington, DCRemote$40,000–$52,300 / yearp>Work at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
NewSenior Pharmacy Sales Executive Washington CenterWellSenior Pharmacy Sales Executive WashingtonWashingtonRemoteWork at Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.