GLOBALHEALTH HOLDINGS LLC

Health Services Coordinator (52451)

GLOBALHEALTH HOLDINGS LLC · Full Time · 2 hours ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

This role provides administrative support for utilization review, health education, and care management. Responsibilities include managing member and provider communications, processing authorization requests, and maintaining medical records in compliance with HIPAA.

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Credentialing Coordinator (52341)

GLOBALHEALTH HOLDINGS LLC · Full Time · 7 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Credentialing Coordinator manages the provider credentialing and recredentialing process to ensure compliance with CMS and organizational standards. This role involves verifying provider qualifications, maintaining accurate records, and collaborating with internal departments to support efficient provider onboarding.

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Case Manager RN (52208)

GLOBALHEALTH HOLDINGS LLC · Full Time · 8 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Case Manager performs telephonic case management for high-risk members to improve long-term wellness through care coordination and advocacy. They are responsible for conducting assessments, monitoring outcomes, and collaborating with providers to ensure holistic and quality care.

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Provider Coordinator (52303)

GLOBALHEALTH HOLDINGS LLC · Full Time · 9 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Provider Coordinator ensures the integrity and accuracy of provider data while managing credentialing processes in compliance with CMS and state regulations. This role also serves as a primary point of contact for provider inquiries, resolving issues through research and cross-functional collaboration.

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Claims Processor (52219)

GLOBALHEALTH HOLDINGS LLC · Full Time · 16 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Data Entry

Responsible for accurately and timely processing of contracted and non-contracted claims for Medicare, Medicaid, and Commercial Insurance products. Collaborates with supervisors to meet regulatory standards for quality and quantity while resolving customer service inquiries.

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Care Specialist LPN (52163)

GLOBALHEALTH HOLDINGS LLC · Full Time · 20 days ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Perform telephonic case management for high-risk members to improve long-term wellness through care coordination and monitoring. Educate members and caregivers on self-management techniques and coordinate services with providers and community resources.

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Manager, Appeals and Grievance (51944)

GLOBALHEALTH HOLDINGS LLC · Full Time · a month ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Provide clinical leadership and oversight for the Appeals and Grievance process to ensure regulatory compliance and timeliness. Manage team resources, handle member escalations, and perform quality of care reviews.

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Manager, Appeals and Grievance (51944)

GLOBALHEALTH HOLDINGS LLC · Full Time · a month ago

GLOBALHEALTH HOLDINGS LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Provide clinical leadership and oversight for the Appeals and Grievance process to ensure regulatory compliance and timeliness. Manage staff resources, handle member escalations, and perform Quality of Care reviews.

APPLY