Browse Average Salary Ranges for Healthcare - Administrative Jobs

Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls, or written questions. Provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidel... View job details

Addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls and written requests. Provides available information upon request and researches or escalates issues as appropriate. Maintains c... View job details

Oversees all aspects of the quality management function for a hospital or other healthcare facility. Develops plans designed to improve the overall quality of the organization's facilities and patient care services. Oversees the implementation of quality improvement efforts designed to improve clinical performance and maintain compliance with the Joint Commission, HIPAA, and other accreditation st... View job details

Reviews applications for coverage, gathers data, and assesses risk related to qualifying a candidate for health insurance. Calculates and recommends pricing. Performs group and/or individual underwriting. May require a bachelor's degree. Typically reports to a supervisor or manager. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the... View job details

Reviews applications for coverage, gathers data and assesses risk related to qualifying a candidate for health insurance. Calculates and recommends pricing. Performs group and/or individual underwriting. Requires a bachelor's degree. Typically reports to supervisor or manager. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Typical... View job details

Directs contracting activities for a healthcare provider network. Plans and develops a contracts database system for a healthcare provider network to track, monitor, and record contract data. Analyzes industry trends and network needs and negotiates contract rates and terms with facilities joining the health network. Develops reporting standards to ensure consistent recording of contract data and ... View job details

Coordinates and evaluates the contracts of a healthcare provider network. Administers and maintains a contracts database system for a healthcare provider network to track, monitor, and record contract data. Reviews contract details and pertinent data to assist in the negotiation of contracts. Analyzes reimbursement data to identify trends and discrepancies. Prepares contracts and routine reports i... View job details

Directs the activities of a healthcare provider network to ensure effective operations and coverage of services. Implements processes and systems to provide routine services and support to members. Analyzes network services and identifies areas to expand or improve to promote and develop a diverse and comprehensive provider network. Maintains positive working relations with providers and manages n... View job details

Directs customer service activities to healthcare providers within the network in alignment with organizational procedures and standards. Develops and improves policies and procedures to resolve provider inquiries regarding benefits, claims, and services. Analyzes the causes of provider inquiries and issues to identify areas for service improvement. Develops customer service strategies to improve ... View job details

Manages customer service activities to healthcare providers within the network in alignment with organizational procedures and standards. Develops policies and procedures to resolve provider inquiries regarding benefits, claims, and services. Analyzes the causes of provider inquiries and issues to identify areas for service improvement. Monitors provider inquiries to coordinate support to handle w... View job details