ProviDRs Care

Position SummaryThe Account Manager serves as the primary relationship manager for assigned employer groups brokers and strategic partners. This position is responsible for delivering a high-quality client experience throughout implementation ongoing administration renewal and issue r

Position SummaryThe Account Manager serves as the primary relationship manager for assigned employer groups brokers and strategic partners. This position is responsible for delivering a high-quality client experience throughout implementation ongoing administration renewal and issue r

UTILIZATION REVIEW REGISTERED NURSE (UR RN)Department: Integrated Health Management Reports To: Integrated Health Management Supervisor/Manager Clinical Oversight: Medical Director as applicable FLSA Status: Non-Exempt Employment Status: Full-Time HourlySalary: Based on previous work

UTILIZATION REVIEW REGISTERED NURSE (UR RN)Department: Integrated Health Management Reports To: Integrated Health Management Supervisor/Manager Clinical Oversight: Medical Director as applicable FLSA Status: Non-Exempt Employment Status: Full-Time HourlySalary: Based on previous work

Job SummaryWe are seeking a detail-oriented and organized Billing and Funding Manager to join our financial team. The ideal candidate will be responsible for managing billing processes ensuring accuracy in invoicing maintaining financial records and oversees the billing staff. This ro

Job SummaryWe are seeking a detail-oriented and organized Billing and Funding Manager to join our financial team. The ideal candidate will be responsible for managing billing processes ensuring accuracy in invoicing maintaining financial records and oversees the billing staff. This ro

Position SummaryThe Account Management Coordinator provides administrative and operational support to the Account Management team and serves as an important point of contact for clients brokers and internal departments. This position helps ensure client requests are handled timely and

Position SummaryThe Account Management Coordinator provides administrative and operational support to the Account Management team and serves as an important point of contact for clients brokers and internal departments. This position helps ensure client requests are handled timely and

Position Summary Unified Health Plan is seeking an experienced Director of Claims to lead our medical claims adjudication operations. This position is responsible for the accuracy timeliness consistency and compliance of claims processing across the organization. The Director of Claim

Position Summary Unified Health Plan is seeking an experienced Director of Claims to lead our medical claims adjudication operations. This position is responsible for the accuracy timeliness consistency and compliance of claims processing across the organization. The Director of Claim

Provider Service Representative Entry-Level (High School Graduate) This is an Onsite Position Position Summary: The Provider Relations Specialist serves as a key point of contact between healthcare providers and ProviDRs Care. This role ensures providers receive timely support infor

Provider Service Representative Entry-Level (High School Graduate) This is an Onsite Position Position Summary: The Provider Relations Specialist serves as a key point of contact between healthcare providers and ProviDRs Care. This role ensures providers receive timely support infor

Registered Nurse (RN) Supervisor Integrated Health ManagementDepartment: Integrated Health Management (IHM) Reports To: Director of Integrated Health Management FLSA Status: Exempt (Salary) Supervises: Utilization Review RNs RN Case Managers Medical Assistant Care NavigatorsThis posi

Registered Nurse (RN) Supervisor Integrated Health ManagementDepartment: Integrated Health Management (IHM) Reports To: Director of Integrated Health Management FLSA Status: Exempt (Salary) Supervises: Utilization Review RNs RN Case Managers Medical Assistant Care NavigatorsThis posi

Registered Nurse (RN) Supervisor Integrated Health ManagementDepartment: Integrated Health Management (IHM) Reports To: Director of Integrated Health Management FLSA Status: Exempt (Salary) Supervises: Utilization Review RNs RN Case Managers Medical Assistant Care NavigatorsThis posi

Registered Nurse (RN) Supervisor Integrated Health ManagementDepartment: Integrated Health Management (IHM) Reports To: Director of Integrated Health Management FLSA Status: Exempt (Salary) Supervises: Utilization Review RNs RN Case Managers Medical Assistant Care NavigatorsThis posi

Job SummaryWe are seeking a detail-oriented and organized Billing Specialist to join our financial team. The ideal candidate will be responsible for managing billing processes ensuring accuracy in invoicing and maintaining financial records. This role requires strong analytical skills

Job SummaryWe are seeking a detail-oriented and organized Billing Specialist to join our financial team. The ideal candidate will be responsible for managing billing processes ensuring accuracy in invoicing and maintaining financial records. This role requires strong analytical skills

Grow With UsDo you enjoy solving problems working with data and learning how systems connect behind the scenesProviDRs Care is seeking an EDI & Data Integration Analyst to support data exchanges vendor integrations operational reporting and implementation projects across our healthcar

Grow With UsDo you enjoy solving problems working with data and learning how systems connect behind the scenesProviDRs Care is seeking an EDI & Data Integration Analyst to support data exchanges vendor integrations operational reporting and implementation projects across our healthcar

Claims RepricerPosition SummaryThe Claims Repricer is responsible for reviewing analyzing and repricing medical claims according to provider contracts fee schedules and client-specific reimbursement arrangements. This role ensures claims are priced accurately efficiently and in compli

Claims RepricerPosition SummaryThe Claims Repricer is responsible for reviewing analyzing and repricing medical claims according to provider contracts fee schedules and client-specific reimbursement arrangements. This role ensures claims are priced accurately efficiently and in compli