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Apex Health Solutions in United States

27 jobs at Apex Health Solutions in United States

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  • Apex Health Solutions

    Health Plan Enrollment Specialist

    2 days ago

    Apex Health Solutions Houston, United States

    · Summary · The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding eligibility, facilitating enrollment of potential members, and rendering any needed system updates. Will collaborate in an ...

  • Apex Health Solutions

    Director, Client Services

    3 days ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionRole Summary · Apex is seeking an experienced client-facing leader to drive the value-based care success of our health system and health plan clients. Reporting to the Senior Vice President, Commercialization and Enterprise Transformation, the Dir ...

  • Apex Health Solutions

    Healthcare Data Analyst

    22 hours ago

    Apex Health Solutions Houston, United States

    · Summary · Apex Health Solutions is leading a healthcare transformation through our partnerships with physicians and healthcare insurers. Through our unique models, Apex empower physicians and risk-bearing organizations to truly manage a patient's health, delivering high quali ...

  • Apex Health Solutions

    Customer Service Representative I

    1 week ago

    Apex Health Solutions Houston, United States

    Summary The Apex customer service team is responsible for addressing all forms of member and provider inquiries (phone, email, internet and/or written correspondence) in a clear, consistent, professional, and caring manner. The incumbent must be able to demonstrate the knowledge ...

  • Apex Health Solutions

    Claims Analyst

    4 days ago

    Apex Health Solutions Houston, United States

    Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system requirements, regulatory reporting, and acts as a liaison between internal stakeholders for associated claims processes. ...

  • Apex Health Solutions

    Manager, Vendor Contract Management

    22 hours ago

    Apex Health Solutions Houston, United States

    · Position Summary: Responsible for contracting and operational oversight functions for vendors in connection with each business unit owner to avoid risk, reduce spend, improve efficiency, and enhance the quality of vendor relationships and their respective products and/or servi ...

  • Apex Health Solutions

    Credentialing and Network Coordinator

    3 days ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionRole Summary · The Credentialing and Network Coordinator will be responsible for ensuring the data integrity for our contracted providers and facilities. This includes conducting ongoing auditing of the departments' database, monitoring regulatory ...

  • Apex Health Solutions

    Manager, Vendor Contract Management

    4 days ago

    Apex Health Solutions Houston, United States

    Position Summary : Responsible for contracting and operational oversight functions for vendors in connection with each business unit owner to avoid risk, reduce spend, improve efficiency, and enhance the quality of vendor relationships and their respective products and/or service ...

  • Apex Health Solutions

    Data Engineer

    3 days ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionPosition Summary: Apex Health Solutions is leading a healthcare transformation through our partnerships with physicians and healthcare insurers. Through our unique models, Apex empowers physicians to truly manage a patient's health, delivering hig ...

  • Apex Health Solutions

    Health Plan Enrollment Specialist

    5 days ago

    Apex Health Solutions Houston, United States

    Summary The Commercial Health Plan Enrollment Specialist i s responsible for maintenance of eligibility data, resolving all issues or requests regarding eligibility, facilitating enrollment of potential members, and rendering any needed system updates. Will collaborate in analyzi ...

  • Apex Health Solutions

    Risk Adjustment Coder

    1 day ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionSUMMARY: · Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. · Reports to: AVP, STARs & Risk Adj ...

  • Apex Health Solutions

    Population Health Pharmacy Technician

    1 day ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionPosition Summary: The Population Health Pharmacy Technician provides support to Pharmacy Operations on activities, projects and initiatives designed to promote the appropriate use of medications - in a population using the VBC paradigm. Assists pa ...

  • Apex Health Solutions

    Appeals and Grievances Coordinator

    10 minutes ago

    Apex Health Solutions Houston, United States

    Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor: Manager, Appeals & Grievances FLSA Status: Nonexempt Summary The Appeals and Grievances coordinator position is focused on the processing of customer and provider Medicare and Commercial ap ...

  • Apex Health Solutions

    UM Coordinator

    6 days ago

    Apex Health Solutions Houston, United States

    Job Title: Coordinator, Utilization Management Department: Medical Management Supervisor: UM Supervisor/Manager, Medical Management The Utilization Management Coordinator represents the company by serving as the frontline point of contact to providers and members for the utilizat ...

  • Apex Health Solutions

    Member Concierge Representative

    1 day ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionJob Title: Member Concierge Representative · Department: Customer Service · Reports To: Supervisor, Customer Service · Position Summary: Apex Health Solutions is expanding our services by building a member concierge · team to assist our client's ...

  • Apex Health Solutions

    Credentialing and Network Coordinator

    1 week ago

    Apex Health Solutions Houston, United States

    Role Summary The Credentialing and Network Coordinator will be responsible for ensuring the data integrity for our contracted providers and facilities. This includes conducting ongoing auditing of the departments' database, monitoring regulatory agencies requirements, participati ...

  • Apex Health Solutions

    Appeals and Grievances Coordinator

    3 days ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionJob Title: Appeals & Grievances Coordinator · Department: Appeals and Grievances · Supervisor: Manager, Appeals & Grievances · FLSA Status: Nonexempt · Summary · The Appeals and Grievances coordinator position is focused on the processing of custo ...

  • Apex Health Solutions

    UM Coordinator

    1 day ago

    Apex Health Solutions Houston, United States

    · Job Title: Coordinator, Utilization Management · Department: Medical Management · Supervisor: UM Supervisor/Manager, Medical Management · The Utilization Management Coordinator represents the company by serving as the frontline point of contact to providers and members for ...

  • Apex Health Solutions

    Health Plan Enrollment Specialist

    3 days ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionSummary · The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding eligibility, facilitating enrollment of potential members, and rendering any needed system up ...

  • Apex Health Solutions

    Claims Analyst

    3 days ago

    Apex Health Solutions Houston, United States

    Job Description · Job DescriptionSummary · Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system requirements, regulatory reporting, and acts as a liaison between internal stakeholder ...