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$92.7k - $154.5k
Help improve how healthcare organizations manage prior authorizations through smarter, more reliable technology. As a Technical Customer Support Advisor, you will configure, support, and optimize a proprietary touchless prior authorization solution that connects multiple...SuggestedRemote jobLocal areaWork from home$207.8k - $346.3k
...stimulating role that lets you apply your clinical expertise while continuing to grow and make an impact? As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll leverage your background in Pediatric Pulmonology to deliver...SuggestedRemote jobLocal areaWork from homeMonday to Friday- ...on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Claims Representative – EviCore based in the United States. As a Claims Representative, you will play an essential role in ensuring the accurate and timely processing...SuggestedFull timeWork at officeRemote work
- POSITION SUMMARYEviCore’s diversified portfolio of proven medical cost management solutions enables our clients to improve the quality and efficacy of care while at the same time reducing medical spend. We believe and have demonstrated that better healthcare is inherently...SuggestedFull timeLocal areaWork from homeShift work
CIGNA
Franklin, TN4 days ago $123.5k - $205.8k
...through implementation. You are equally comfortable collaborating across teams and independently driving projects to completion. At eviCore, you'll have the opportunity to make a meaningful impact on our engineering productivity, platform reliability, and customer...SuggestedFull timeLocal areaRemote workWork from home$100k
Sr Scrum Master / Agile CoacheviCore Healthcare - Bluffton, SCLooking for a Scrum MasterRoles and Responsibilities:Scrum for multiple teams (co-located & distributed).Facilitates various Scrum ceremonies (Sprint Planning, Backlog Grooming, Release planning, status tracking...SuggestedClifyX
Bluffton, SC3 days ago- ...patient appointments Answer patient inquiries Explain intake forms to patients Process patient payments Obtain prior authorizations via Evicore Obtain health insurance benefits Qualifications Previous experience as a medical receptionist or in a similar position is preferred...SuggestedWork at officeFlexible hours
- ...set job alerts for “Genetic Counselor” roles. Oncology Genetic Counselor- Temporary Part Time Genetic Counselor Clinical Reviewer - EviCore - Remote United States $71,100.00-$118,500.00 4 weeks ago Clinical Trainer, Medical Science Liaison Basking Ridge, NJ $90,000.00-$9...SuggestedContract workTemporary workPart timeRemote work
- ...years Basic computer skills Required Minimum 1 year Experience with payor portals preferred (Availity, NaviHealth, Carelon/MyNexus, EviCore) Preferred Less than 1 year One year in a healthcare setting Preferred Required Minimum Skills: Computer/data entry...SuggestedShift work
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreSuggestedWork experience placementLocal areaWork from homeMonday to FridayFlexible hoursShift work
$19 - $21 per hour
...identifying gaps before submission. Experience using payer portals and utilization management platforms/vendors such as Availity, EviCore, Carelon, or Cohere. Experience working within Pain Management required. Strong organizational, analytical, and problem-solving skills...SuggestedPermanent employmentFull timeTemporary workWork at officeRemote workMonday to Friday$31 - $52 per hour
...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreSuggestedHourly payFor contractorsLocal areaWork from homeRelocation package- ...Cleveland, OH $400,000.00-$475,000.00 1 week ago Columbus, OH $174,070.00-$374,920.00 6 days ago Medical Director - Medical Oncology - eviCore - REMOTE Bloomfield, OH $203,200.00-$338,600.00 1 week ago Physician Resident- Pathways| Unity Health Network Medical Director -...SuggestedFull timeContract workPart timeFor contractorsInternshipRemote workFlexible hoursNight shift
$20 - $25 per hour
...compliance. Explain treatment procedures, medications, diets and physicians' instructions to patients. Utilize insurance portals like Evicore, Carelon and RadMD to submit prior authorization requests for outside testing including MRI, CT, PET, DaT scans, etc. Oversee and...SuggestedHourly payFull timeTemporary workWork at officeMonday to FridayAfternoon shift2 days per week3 days per week- ...to independently manage high daily authorization volume Hands-on experience with payer portals (e.g., Availity, UHC, Carelon/AIM, eviCore, Cohere, CoverMyMeds, etc.) Strong working knowledge of CPT codes and procedural terminology Experience reviewing documentation for...SuggestedContract workRemote work
$24.72 per hour
...eligibility/verification portals to retrieve accurate patient insurance information, including but not limited to, ClaimRemedi, ePACES, eviCore, Managed Care and/or Private/Commercial individual portals. Add, modify or update the patient's medical, dental and vision...Work at office- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreFull timeWork experience placementWork at officeLocal areaWork from homeMonday to FridayShift work
- ...claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and Specialty drug programs (i.e eviCore and CareContinuum); Summary Plan Description (SPD) guidelines, member benefits/eligibility parameters pre-authorization...
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreLocal areaImmediate startWork from homeRelocation packageShift work
- ...for medical testing. The candidate must also be familiar with all forms of commercial insurance plans and third-party websites like Evicore and Navinet. Employees in the Precertification department must be motivated, organized, and team players with a positive attitude....Full timeWork at officeImmediate startRelocationMonday to Friday
$20 - $30 per hour
...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreHourly payLocal area- The Cigna Group’s EviCore division is seeking a Medical Director to apply pediatric pulmonology expertise in evidence-based medical reviews that support high-quality patient care. This role starts with remote training and emphasizes collaboration with 500+ physicians to...Remote job
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreLocal areaImmediate startWork from homeRelocation packageMonday to FridayShift work
$62.6k - $104.3k
...improving SOPs, workflows, or process documentation.* Knowledge of prior authorization, post-service processes, reporting, or relevant eviCore systems. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable...Remote jobFull timeWork from home- ...need and stay on them at prices they can afford. Join Express Scripts Pharmacy and help us deliver prescriptions that people count on every day. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on patient lives. eviCoreWork at officeImmediate startFlexible hoursShift work
$20 - $30 per hour
...posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. #J-18808-Ljbffr Evicore HealthcareHourly payLocal areaMonday to Friday- ...accuracy with commercial and HMO plans and managing prior authorizations for various exams. The ideal candidate will have experience with Evicore, AIM, and Healthcare Partners, and communicate professionally by phone and in person in a fast-paced cardiology practice. #J-18808...
- ...coinsurance, primary/ secondary payor, referral), - proven experience with obtaining prior authorizations for various exams through Evicore, AIM, Healthcare Partners websites, as well as directly from insurance companies via phone, - ability to communicate...
- ...out prior authorizations in Cover My Meds Filling out prior authorization for Medicaid patients in NC Tracks Utilization of EviCore, Carelon, Evaility, Humana, RadMD and UHC as diagnostic imagine PA portals Contacting patients for additional information if necessary...Work at office
Appalachian Mountain Community Health Centers
Asheville, NCa month ago - ...opportunities to contribute to efficient processes. You’ll need a HS diploma, basic computer skills, and a detail‑oriented work style. The team emphasizes cross-training, career growth, and competitive pay with a $1,500 sign-on bonus and #J-18808-Ljbffr Evicore HealthcareFull timeRelocation packageRotating shiftAfternoon shift
