CC
Clinical Appeals Coordinator
Centene Corporation
United States (Remote)
$34.00 – $61.00 / hour
Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.
4 days ago
15 NCQA jobs in Michigan, United States
Showing 1–15 of 15 jobs
PH
Clinical Quality Specialist RN - Peak Health
Peak Health
United States (Remote)
Welcome! We’re excited you’re considering an opportunity with us!
2 mo. ago
WM
Clinical Quality Specialist RN - Peak Health
WVU Medicine
United States (Remote)
Welcome! We’re excited you’re considering an opportunity with us!
2 mo. ago
CH
Manager, Utilization Review Nursing
Central Health
United States (Remote)
Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…
1 mo. ago
MH
Senior Specialist, Health Plan Quality Program Management & Performance (RN) - Remote
Molina Healthcare, Inc.
United States (Remote)
JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives,…
6 days ago
YI
PB
Case Manager, RN
Premera Blue Cross
United States (Remote)
$81.1–157.1K / year
Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by…
3 wk. ago
S
United States (Remote)
$35.00 – $40.00 / hour
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…
1 yr. ago
CB
RN Care Manager - Oncology
Capital Blue Cross
United States (Remote)
Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated…
2 mo. ago
H
UM RN - Behavioral Health
HealthEdge
United States (Remote)
$65–85K / year
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
3 wk. ago
R
Bilingual Clinical Nurse Coach (RN)
Renalogic
United States (Remote)
$78–100K / year
Salary based on location: $78,000 - $85,000 if EST or CST; $86,000 - $100,000 if MST or PST.
2 mo. ago
H
Temporary UM RN
HealthEdge
United States (Remote)
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
5 days ago
HH
Clinical Quality Management Analyst - RN (Remote)
Highmark Health
United States (Remote)
$62.7–97.2K / year
Company : Highmark Inc.
2 wk. ago
H
Temporary A&G RN
HealthEdge
United States (Remote)
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
4 days ago