DOCTORS HEALTHCARE PLANS, INC. jobs
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ENROLLMENT COORDINATOR
Adheres to Processing guidelines to meet Enrollment timeliness requirements as defined by CMS; Analyze the member application and accompanying documents, ensuring applicant eligibility and match to CMS's records. Analyze the membe...
| Company | Doctors Healthcare Plans, Inc. |
|---|---|
| Address | Coral Gables, FL |
| Category | Information Technology |
| Job type | Full-Time |
| Date Posted | 2 weeks ago See detail |
Enrollment Coordinator
Doctors Healthcare Plans, Inc.
Coral Gables, FL
Adheres to Processing guidelines to meet Enrollment timeliness requirements as defined by CMS; Analyze the member application and accompanying documents, ensuring applicant eligibility and match to CMS's records. Analyze the membe...
2 weeks ago seen See more...
Clinical Pharmacist
Doctors Healthcare Plans, Inc.
Coral Gables, FL
Oversee and manage the daily activities and requirements of the Coverage Determination process, claims adjudications system and drug utilization reviews. Monitor claims system, monthly metrics and quarterly CDAG reports to assure...
2 weeks ago seen See more...
Coding Analyst
Doctors Healthcare Plans, Inc.
Miami, FL
Responsible for the analysis of Part A and B claims in order to assess accuracy of claims coding. Analysis includes the review of coding guidelines, clinical records, reimbursement guidelines (including MS-DRG, AP-DRG and APR-DRG...
3 weeks ago seen See more...
Director Network Development
Doctors Healthcare Plans, Inc.
Coral Gables, FL
$96.3K - $122K a year
Responsible for ensuring that the language of all contracts is in compliance with all State, CMS, AHCA, and any other regulatory agency. Responsible for developing, administrating and negotiating Provider Agreements for Primary Ca...
a month ago seen See more...
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