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claims adjuster in Central Valley

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  1. Bilingual RN Medical Case Manager (Spanish Speaking) -Willing to Train

    DIRECT HIRE OPPORTUNITY for stellar Bilingual Nurse Case Managers in Modesto, CA area working with a Fortune 500 organization.  This role combines the best of both worlds combining telephonic and field work together to offer variety in this position.  In this role as a Nurse Case Manager, you will engage in case review and audits working directly with members and primary care physicians to ensure care plans are established, managed and members receive the highest quality of healthcare service.  This ...

  2. Director of Medicare Services /paid relo to Cincinnati, OH - fzsmarBA

     We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience. Position Summary:   The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments. Essential Duties and Responsibilities: Interview, hire, train, audit and review team members Lead, supervise, motivate and monitor team members to ensure ...

  3. Director of Medicare Services /paid relo to Cincinnati, OH - fzsmarFR

     We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience. Position Summary:   The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments. Essential Duties and Responsibilities: Interview, hire, train, audit and review team members Lead, supervise, motivate and monitor team members to ensure ...

  4. Bi-lingual Human Resources Manager

    Express Employment Professionals is looking for a qualified person to provide leadership and HR consultant services as a strategic partner, working in liaison with the Division General Manager and functional support leaders with emphasis on organizational effectiveness, leadership development, talent planning, change management, and performance management. This role collaborates with Team Members on implementation of HR processes, providing strategic direction as well as tactical implementation of HR ...