169,903 Field Service Network Engineer Jobs Nationwide

1. Performs all clinical practitioner service activities in designated specialty areas, including obtaining histories, performing physical...

Operations * Accurately configure and maintain benefits, contracts, prior authorizations, and fee schedules in QNXT to meet business and compliance...

Operations * Oversees and reviews clinical charts for the following: sentinel events, quality of care concerns, and reportable incidents, patient...

1. Operates ultrasound equipment used to produce general diagnostic scans to ensure optimal patient care. Determines equipment and supply needs...

1. Provides a safe environment for patients, nurses, doctors and others by collecting firearms from patients and officers, scanning patients...

Operations Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across...

Operational Support * Develops standardized and ad-hoc models to support contract pricing and contract and network performance. * Develops...

1. Performs clinical practitioner duties in designated specialty areas. Obtains histories perform physical exams, makes assessments, and...

1. Performs clinical practitioner duties in designated specialty area. Obtains histories, performs physical exams, makes assessments, and...

Operations: Oversees processing of periodic enrollment files / transactions across all plans. Reconciles and maintains accurate enrollment...

1. Assists the surgical team during routine and complex operative procedures by functioning in a scrub role, ensuring that the activities meet...

1. Performs all clinical practitioner service activities in designated specialty areas, including obtaining histories, performing physical...

Leadership * Manages the overall vendor performance per contractual service level agreements (SLA) and ensures vendor conformity to standards...

1. Performs clinical practitioner duties in designated specialty area. Obtains histories, performs physical exams, makes assessments, orders...

Operations * Analyzes details of benchmarking and creates resolution of the edits. * Develops effective internal controls and monitor reports...

1. Performs clinical practitioner duties in designated specialty areas. Obtains histories perform physical exams, makes assessments, and...

Service Coordination * Conducts service coordination and care management activities according to model of care, program description and policies...

Operations Drives high-level solution design activities, collaborating with vendors and stakeholders to optimize workflows and intended...

1. Performs all clinical practitioner service activities in designated specialty area including obtains histories, performs physical exams...

- Reviews prior authorization and appeals request for approval or denial of claims payment based on medical necessity. - Performs peer to peer...