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The Population Health Manager serves as an expert consultant to CGHC staff and is an advocate for members to optimize their health and the collective value of health services from the CGHC provider network. The nurse uses clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benef
Posted 17 days ago
Claims Recovery and Resolution Specialist Common Ground Healthcare Cooperative (CGHC) is a nonprofit, community owned health insurance company well positioned to grow into a major force for positive change in the Wisconsin health insurance market. We are a member governed cooperative with a mission to provide affordable, innovative health insurance solutions to small businesses, non profits and in
Posted 23 days ago
Efficiently and accurately processes medical claims by applying the appropriate fees allowed and validating the claims processed according to the members’ benefits. Investigates and resolves discrepancies as necessary. Position Responsibilities Validates information on all medical claims and research and resolves discrepancies; Processes claims in an accurate, efficient and productive ma
Posted 1 month ago
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