Luminare Health Jobs in United States

This position is responsible for working onsite at the client's office/facility – up to 5 days a week for the entire workday.The associate meets face-to-face with members to resolve claim issues, assist with understanding of benefits, · assist with Open Enrollment activities,and ...

Working collaboratively with the Executive Director, HCSC Vertical Lead, this role is responsible for guiding a team of dedicated resources to drive high customer retention... · ...

The Case Manager acts as the liaison between a patient, the primary care physician and other providers in the healthcare community. · Assesses, plans, implements, coordinates, monitors and evaluates options. · ...

· The role of the Client Management Health Systems Lead is to retain and grow existing Luminare Health Hospital and Health Systems accounts, developing strategy for health systems business and ensuring retention, upsell and profitability goals are met or exceeded.Develop and exe ...

Job summary · Responsible for developing and managing strategic sourcing and vendor relationship partner strategies for assigned vendors related to outsourced Business Process Services (BPS). Manages the selection, acquisition and monitoring of contractual agreements for Business ...

The Claims Analyst is responsible for the accurate adjudication and processing of medical, · dental, vision, or other related claims, · including related correspondence and/or electronic inquiries for assigned groups.All claims and inquiries are handled according to the establish ...

Welcome to a team of passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits pl ...

Responsible for the day-to-day supervision and management of a remote team of designated inbound and outbound customer service representatives enabling the team to deliver exceptional service. · ...

+Serve as a point of contact for clients in conjunction with Client Managers and provide any necessary administrative assistance required by the Client Managers to successfully retain business. · + · Responsibilities · +Work with various departments within Luminare Health to prom ...

This position is responsible for medical necessity reviews in accordance with the client contracts, State, Federal regulations, following the utilization review URAC standards. · The Clinical Review Coordinator provides claims support which includes post-service medical reviews. ...

This position is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of client success and to ensure consistency and efficiency. · ...

Join HCSC and be part of a purpose-driven company that will invest in your professional development. · ...

The Implementation Manager is responsible for leading the implementation phase for new clients and complex client renewals... · ...

The Senior Director Client Management will play an integral role in the growth and success of Luminare Health, the region, and the Client Management team. This individual will be provide strategic thought leadership, new product and/or initiative rollout, and team leadership for ...

This role is responsible for guiding a team of dedicated resources to drive high customer retention and satisfaction. The Director, Relationship Manager will partner with Operations and HCSC leadership to bring solutions to clients. · ...

The Claim Manager is responsible for the day-to-day supervision and management of a team, · Successful achievement of team quality, production and service expectations, · Staff development, · Sentinel implementation of new clients into the Unit, · ...

The primary responsibility of the Grievance & Appeal Specialist is to address and handle the appeals received within specified timeframes as required to meet contractual obligations. · ...

The Eligibility Supervisor is responsible for the day-to-day supervision and management of an Eligibility team enabling the team to meet its client and corporate commitments.Responsibilities include, but are not limited to, successful achievement of team quality, production and s ...

Responsible for the overall relationship of a key strategic client, managing day to day activities, problem resolution, and renewal activities. · ...

The Strategic Reporting Consultant is responsible for providing training and ongoing support for internal and external users with access to our reporting systems. This position is responsible for creating and maintaining documentation and recorded training materials. · ...