Scheduling referrals for patients, providers, pre authorizing & pre certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. All other duties as assigned Independence Ph

Scheduling referrals for patients, providers, pre authorizing & pre certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. All other duties as assigned Independence Ph

About Centennial Hills Hospital Centennial Hills Hospital Medical Center is a 336 bed facility that is part of the six hospital The Valley Health System in the Las Vegas area. We provide a wide range of medical services and procedures, including comprehensive women's services for the Northwest Las Vegas area. In addition to providing digital mammography, gynecologic care

The Manager of Compliance and Risk Management is responsible for managing and improving the Prominence Health Plan Compliance and Risk Management Program to assure compliance with State and Federal regulations for health plan products including Medicare Parts C and D, large and small group health plans, third party administration, and other commercial health plan products

The Enrollment & Billing Analyst for Membership Enrollment and Premium Billing plays a crucial role in supporting the functions of Prominence Health. This position is dedicated to ensuring accuracy and compliance in premium billing, enrollment processes, and financial reporting. The analyst will collaborate with various stakeholders, perform audits, and contribute to the

Scheduling referrals for patients, providers, pre authorizing & pre certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. All other duties as assigned Independence Ph

Scheduling referrals for patients, providers, pre authorizing & pre certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. All other duties as assigned Independence Ph

The Pharmacy Benefit Operations Manager provides supervision of a team in charge of daily, tactical support in all matters related to pharmacy benefits across all lines of business including Commercial fully insured, self insured, and Medicare Advantage products. The position will regularly interface with vendors (including the pharmacy benefit manager), consultants, phar

The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include, Centennial Hills Hospital Medical Center , Spring Valley Hospital Medical Center , Summerlin Hospital Medical Center , Henderson Hospital an

The HR Director position is an integral part of the leadership team reporting directly to the CEO. The position leads the delivery of workforce strategies and drives the effective implementation of key HR programs, policies, and practices. The HR Director works in close contact with other business leaders as a business partner to drive recruitment, employee relations, coa

West Henderson Hospital is currently under construction and is expected to open in late 2024. When it does it will be the seventh acute care hospital in The Valley Health System. It will be located at the southwest corner of Raiders Parkway and St. Rose Parkway, near the Las Vegas Raiders' headquarters. When the hospital opens it will feature 150 beds A 37 bay emergency d

Individuals hired as Talent Development Professionals (TDPs) in Ready Mix will be placed in a 12 month intensive, hands on developmental program that will build the foundation for a successful career in CEMEX USA. During the program, TDPs will learn the operational aspects of Ready Mix Concrete Operations to become a subject matter expert in their field. In addition, TDPs

No Summary Available Essential Functions We are seeking well trained Ob/Gyn Generalist (Obstetrics and Gynecology) interested in joining a medical group that includes 3 clinic locations. Our women's division includes Hospitalist services in three of our major hospitals to assist our physicians with L&D care and deliveries. Highlights We are an academically focused practic

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Under little supervision, Benefit Fair Representatives educate employees and encourage membership enrollment at VSP Vision Care client benefit fairs. Benefit Fair Representatives will travel to VSP client locations or participate virtually during the open enrollment period to explain the VSP plan(s) offered by the company, answer questions and assist members and potential