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Elevance Health
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South Portland, Maine
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health plans and physicians who share our vision of providing comprehensive, collaborative medical care ... patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses
...
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Elevance Health
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South Portland, Maine
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), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
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Elevance Health
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South Portland, Maine
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modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of ... ), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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medical determinations as to whether a claim meets the benefits the member carries.
H **ow ... a valid claim through the use of medical policy and other materials.
**Minimum Requirements
...
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Elevance Health
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South Portland, Maine
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covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
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Elevance Health
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South Portland, Maine
...
), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
...
covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
...
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Elevance Health
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South Portland, Maine
...
), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
...
, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The ... covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
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Elevance Health
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South Portland, Maine
...
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Healthcare related experience a plus.
Previous experience in high-volume operations (Medical Review ... ), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
...
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Elevance Health
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South Portland, Maine
...
covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
...
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Elevance Health
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South Portland, Maine
...
covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
...
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Elevance Health
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South Portland, Maine
...
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Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying ... ), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education ... ), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long
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Elevance Health
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South Portland, Maine
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Authorization/Medical Review Experience preferred.
For candidates working in person or remotely in the ... covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
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Elevance Health
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South Portland, Maine
...
covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
...
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Elevance Health
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South Portland, Maine
...
programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long
...
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Elevance Health
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South Portland, Maine
...
), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
...
), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
...
), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
...
), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
...
covered by a collective bargaining agreement), medical, dental, vision, short and long term disability
...
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Elevance Health
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South Portland, Maine
...
Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The ... and over-utilization by performing the most complex medical reviews via prepayment claims review and
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Elevance Health
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South Portland, Maine
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), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
...
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Elevance Health
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South Portland, Maine
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Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and ... ), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life
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Elevance Health
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South Portland, Maine
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multiple provider types, e.g. physician, ancillary, medical groups, or hospitals. Supports a full range of ... to control costs.
Projecting cost increases in medical services by using analytic techniques for
...
