CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra is looking for a Physician Medical Claims Reviewer to join our growing team.
Job Summary:
The primary responsibilities of a Physician Medical Claims Reviewer include conducting independent medical service appeal reviews for TennCare, providing expert testimony, and ensuring compliance with guidelines.
Job Responsibilities:
Requirements
Required Qualifications/Experience
Preferred Qualifications/Experience:
Benefits
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The pay range for this position is $184,500-$200,000 annually
“Based on our compensation program, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
EOE AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
...activities and assisting with children who may be napping. Benefits include several weeks of vacation time paid and paid sick days.Huntington Jewish Center is a truly wonderful community. Our team is inclusive, fun, loving, and will become your second family....
...Assisted Living is the place for you. Youll thrive in a premier senior care organization that values you as an individual not just your... ...the quality of life of residents with Alzheimers disease and dementia inour dedicatedReflections Memory Care Neighborhood. Your role is...
Description: Tool Runner Our full time Tool Runner is responsible for going to pick-up/purchase required parts for shop projects, researching/ordering parts requested by the shop, and for helping to clean and organize the shop and tools/inventory/parts. Responsibilities...
...Job Title: Medical Writer II Location: Abbott Park, IL 100% Onsite Local candidates only Period:11/18/2024 to 11/24/2025 Potential for extension/direct hire Hours/Week: 40 hours Hours over 40 will be paid at Time and a Half Rate:$35 $40...
...clients change Driving required : Y Travel required : Y Settings : field POSITION SUMMARY/JOB PURPOSE: Direct Support Professionals (DSP) help people with intellectual and developmental disabilities (IDD) live their best lives by promoting self-...