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The Health Services Coordinator at HMA is responsible for analyzing data, coordinating care, documenting care plans, and collaborating with various stakeholders to ensure continuity of care coordination. The role requires problem-solving skills, critical thinking, and excellent communication abilities.
The Software Developer II at HMA will be responsible for supporting internal applications, modernizing internal systems, and designing and developing innovative applications. They will work closely with the team to ensure high-quality code delivery and maintenance of software products.
The Case Manager II at HMA is responsible for monitoring member utilization and claim patterns, providing ongoing case management support, collaborating with internal and external teams for care coordination, and demonstrating expertise in case management and nursing processes. The role requires 3-5+ years of clinical nursing experience and 3+ years of utilization review experience, along with problem-solving and critical thinking skills.
The Account Manager I at HMA is responsible for managing and providing white-glove service to a book of business, representing Client Success, and building strong relationships with key stakeholders. The role involves recommending products and services, updating CRM, and serving as a subject matter expert for client success functions.
As a Certified Professional Coder at HMA, you will be responsible for performing timely and accurate audits of medical claims invoices, collaborating with internal and external stakeholders, and maintaining expertise in coding guidelines. The role requires 3-5 years of health plan experience and medical code auditing experience.
The EDI Specialist I at HMA works closely with internal and external stakeholders to provide day-to-day support for external integrations with vendors, including pharmacies, providers, and insurance carriers. Responsibilities include monitoring data integrations, maintaining EDI x12 834 integrations, implementing inbound and outbound integrations, completing UAT validation, resolving production issues, managing vendor relationships, and providing support for S/FTP connections.
As a Customer Care Advocate I at HMA, you will be a trusted advisor for members, providers, brokers, and clients, providing accurate information on eligibility, benefits, and claim status. Your responsibilities include responding to inquiries, resolving issues, and ensuring customer satisfaction. This role requires excellent communication skills, professionalism, and the ability to navigate multiple systems efficiently. Prior experience in a call center or healthcare environment is preferred. High school diploma or equivalent is required.
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