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Fidelis Care jobs

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HEALTHCARE TRANSFORMATION CONSULTANT

Assist Senior and Executive leadership in the identification of performance improvement opportunities within Clinical Operations aimed at improving member health outcomes, reducing inappropriate utilization, and increasing both qu...

CompanyFidelis Care
AddressNew York, NY
CategoryInformation Technology
Salary$84,300 - $151,700 a year
Job typeFull-time
Date Posted 2 weeks ago See detail

Healthcare Transformation Consultant

Fidelis Care

New York, NY

$84,300 - $151,700 a year

Assist Senior and Executive leadership in the identification of performance improvement opportunities within Clinical Operations aimed at improving member health outcomes, reducing inappropriate utilization, and increasing both qu...

2 weeks ago seen See more...

Clinical Review Nurse - Concurrent Review

Fidelis Care

Getzville, NY

$25.00 - $44.85 an hour

Performs Concurrent Reviews of member for appropriate care and setting to determine overall health and appropriate level of care Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of sta...

4 weeks ago seen See more...

Auditor II

Fidelis Care

New York, NY

$54,000 - $97,100 a year

As an Auditor II supporting our Fidelis Care health care plan, you will conduct audits to ensure compliance with Center for Medicare/Medicaid Services (CMS) regulations; and New York State rules and regulations. Identify improper...

4 weeks ago seen See more...

Authorization Specialist I

Fidelis Care

New York, NY

$15.68 - $22.54 an hour

Supports authorization requests for services in accordance with the insurance prior authorization list Supports and performs data entry to maintain and update authorization requests into utilization management system. Assists util...

4 weeks ago seen See more...

Operations Configuration and Integration Analyst

Fidelis Care

New York, NY

$25.97 - $46.68 an hour

Analyzes, interprets, loads, tests and maintains configurable tables,, files and software that are utilized to support claim adjudication which include and but are not limited to; claim adjudication rules edits, benefit plan suppo...

4 weeks ago seen See more...

Health Benefit Representative

Fidelis Care

New York, United States

$22.36 - $38.07 an hour

The HBR interacts directly with individuals, first conducting a needs based analysis to better understand and recommend the best product for their unique needs. They educate individuals on healthy lifestyles, preventive care servi...

4 weeks ago seen See more...

Health Benefit Rep

Fidelis Care

East Syracuse, NY

$22.36 - $38.07 an hour

The HBR interacts directly with individuals, first conducting a needs based analysis to better understand and recommend the best product for their unique needs. They educate individuals on healthy lifestyles, preventive care servi...

4 weeks ago seen See more...

Supervisor, Credentialing

Fidelis Care

New York, NY

$54,000 - $97,100 a year

Oversee the day to day operations of the Credentialing department Monitor critical credentialing activities/processes and update management of issues Ensure compliance with company standards, NCQA or URAC, State and Federal polici...

a month ago seen See more...

Community Relations Specialist

Fidelis Care

Getzville, NY

$54,000 - $97,100 a year

Plans, develops, coordinates, collaborates and conducts events including, but not limited to, meetings, presentations, activities, training, product orientations, focus groups, field marketing events, projects, etc. Develops and m...

2 months ago seen See more...

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