Professional Management Enterprises

 
Displaying 1 - 15 of 26 Jobs.
 
Janitor
Indianapolis, IN
We are seeking a dedicated and detail oriented individual to join our team as a Janitor. The primary responsibility of this role is to ensure that vacated apartments are thoroughly clean...

Member Health Assessor
Indianapolis, IN
The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment. Essential Fun...

Medical Appeals Analyst (33248992)
Columbia, SC
Researches the substance of complex appeal or retrospective review requests including pre pay and post payment review appeal requests. Provides thorough clinical review or benefit analys...

Care Review Processor I (56811)
Los Angeles, CA
Data Entry (Intake) enters information in system from fax system verifies eligibility, coverage, request for missing information, redirecting to in network facilities, assist in phone qu...

Care Review Clinician II (56652)
Los Angeles, CA
All UM standard Inpatient, Outpatient and Custodial Care processes and workflows for any requests, verbal notifications for denials/partial denials to both member and provider, participa...

RN Care Manager (119447)
Indianapolis, IN
Seeking an RN Care Manager with experience working with high risk OB members to perform care management duties to assess, plan and coordinate all aspects of medical and supporting servic...

Member Risk Adjustment Coordinator I (119687)
Indianapolis, IN
Schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement. Essentials Understanding of basic medi...

Maintenance Assistant I (33040455)
Columbia, SC
Performs routine facility maintenance tasks to ensure company employees have a safe and properly conditioned work environment. Assemble, relocate, and repair free standing or modular off...

Care Manager V (56732)
Syracuse, NY
UAS Certified RN licensed in the state of NY. Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs. Provides the...

Customer Service Advocate I
Indianapolis, IN
Job Title Customer Service Advocate I Location Remote (Indiana) Hours 11am 8pm Monday Friday (Eastern Standard Time Zone) Job Description Serves as the first line advocate that focuses on...

Clinical Appeals Nurse
Dayton, OH
The Clinical Appeals Nurse is responsible for the completion of clinical appeals and state hearings from all states. Essential Functions Responsible for the completion of clinical appeals...

Clinical Administrative Coordinator (CAC)
Indianapolis, IN
Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and...

Customer Care Rep (Outbound)
Indianapolis, IN
A customer service representative, or CSR, will act as a liaison, provide services information, and resolve any emerging problems that our customer accounts might face with accuracy and...

Data Capture Operator
Marion, IN
Data Capture Specialist is responsible for the accurate capture of the alphabetic, numeric, or symbolic data from electronic images and/or source documents according to the custom develo...

RN Care Manager II (118667)
Indianapolis, IN
Seeking an RN Care Manager II to p rovide Care Management duties to include telephonic outreach to members, assess members for complex medical needs, develop and update care plans, asses...