Innovative Management Systems Incorporated Jobs in Corona, CA 92881

Description: We are looking for a Claims Examiner II/III, depending on their knowledge and experience. This position is not an entry level position and will need to fully understand Medicare claims processing specifically in a managed care organization, managed service... Read More

Description: The Position. The Regulatory Compliance Manager will assist the Compliance Officer with implementation and ongoing development of the Company's Compliance Program to ensure adherence to regulatory requirements. The Regulatory Compliance Manager will serve as... Read More

Description: Position: Contract Coordinator This position will assist in the development and management of the contracting process workflow, and other duties as needed by the Contracting Department. The Contract Coordinator will need to be able to multi-task, be... Read More

Description: Position: UM Case Manager UM Case Manager implements the effective and best practices of Utilization Management. The UM Case Manager will provide high quality medical care review and service by appropriately applying the Milliman Care Guidelines, Health Plan... Read More

Description: The Position. We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in... Read More