Case Manager, RN. Full-time/Remote. Job Summary. The Case Manager shall work with the entire Narus team to provide appropriate, comprehensive, and proactive onsite and telephonic case management services and to promote the provision of only the highest quality, most appropriate, cost-effective healthcare to plan participants with chronic or catastrophic illnesses or injuries, in accordance with applicable laws, the CCM/CMSA Standards of Practice,...
Flex Administration Supervisor. Appleton, WI. Full-Time, In-office. Role Summary. The primary focus of the Flex Administration Supervisor is to administer Flex or HRA, process claims according to the IRS guidelines, determining if a member is eligible for Flex COBRA, order benefit cards, maintain eligibility and enrollment for flexible spending, dependent day care, transportation, and health reimbursement accounts, completing Non-Discrimination T...
Sales Support Analyst. Nashville, TN. In-Office. Summary. This position will work in a team environment with other staff members to prepare statistical analysis reports, claims experience reports, value-added product information, and various other marketing materials for both renewing and prospective clients. This position also requires organization and interaction with insurance companies, internal and external clients, and sales channels. Minim...
Reference Based Pricing Coordinator. (REMOTE). SUMMARY. Lucent Health has an opportunity for Reference Based Pricing Coordinator to support the RBP Operations Team Lead working collectively with the Lucent Health Care Management (LHCM) Utilization Review (UR), Case Management (CM) and Concierge Teams to provide prepricing of medical procedures to TPA client members and provide coverage when the RBP Operations Team Lead is on vacation or other sch...
Job Title: Claims Analyst. Position Type. Full-Time, Remote. Location. Nashville, TN. Department. Lucent Tennessee Claims. Reports To. Supervisor – Claims. SUMMARY. The purpose of the Claims Analyst is to provide exceptional claim processing. Claims Analysts process medical. dental, disability, pharmacy, and flexible spending claims in a timely and accurate manner. ESSENTIAL DUTIES AND RESPONSIBILITIES. Report to work during core business hours (...
Behavioral Health Therapist/Licensed Professional Counselor. Licensed Clinical Social Worker. Based in California (Remote). Who We Are. Narus is transforming mental health care, from start to finish. It begins with accessible and effective evidence-based video/telephonic therapy provided by our top-notch team of providers. As a result, our clients experience improved outcomes—feeling better, faster. We are currently seeking licensed professionals...
Claims Examiner I. Rancho Cordova, CA. (Hybrid/Remote). Summary. The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. A cheerful, competent and compassionate attitude will directly impact the productivity of the team. Attendance can also directly impact the satisfaction level of our clients and retention of our accounts. Essential Duties and Responsibilities. include t...
Compliance and Licensing Specialist. Nashville, TN (HYBRID). Job Summary. The Compliance and Licensing Specialist is responsible for the management of all licensing for Lucent Health and its’ subsidiaries. The primary purpose of the position is to maintain the company’s compliance with Federal and State licensing rules and regulations, in addition to securing new licenses as required. S/he is also responsible for filing associated annual reports ...
Utilization Review Nurse Case Manager (Oncology). Full-time, Remote. Role Summary. The Utilization Review RN Case Manager shall work in a collaborative fashion to promote the provision of quality care and cost-effective outcomes that will enhance the physical, psychosocial, and vocational health of the plan participants in accordance with the policies and procedures of Lucent Health Care Management, LLC, URAC UM Standards, and the laws and establ...
Lucent Health Rx Specialist (Hybrid). Location. Nashville, TN. Summary. The Lucent Health Rx Specialist works within the Narus Health Patient Support Center (PSC) in Nashville, Tennessee. The Care Support Specialist, as part of a multidisciplinary care team, is responsible for supporting the care management team. This team member is responsible for managing inbound phone queues, communication with patients, providers, and additional entities resp...
Title. Manager of Claims. Summary. The Manager of Claims position is a key part of the department’s successful operation. This position has direct responsibility for all Commercial and Native American Claims Operations. The Manager of Claims is a senior level member of the organization, who is monitoring, supporting, and instigating action to improve, when necessary, the day to day productivity of claims operations within the company. The Manager...
Job Title. Mailroom/Claims Support Clerk - In-office. Location. Rancho Cordova, California. . Summary. The Mailroom/Claims Support Clerk is a key part of a successful operation for Lucent Health. The Mailroom/Claims Support Clerk is in daily contact with all team members, managers, directors and executive level members. This position reports to the Appeals Supervisor and is responsible for reviewing, analyzing and routing claims for pre services ...
