Centivo

Claims Auditor

• Perform auditing of claims, ensuring processing, payment, and financial accuracy.
• Complete reporting of audits finalized with decision methodology for procedural and monetary errors.
• Communicate corrections and adjustments to Examiners as identified on pre-payment audits.

Health Navigator

As a Health Navigator, you will play a key role in our virtual day-to-day operations of our national virtual primary care practice. You will work closely with a close-knit clinical and operations team, contributing to a meaningful workplace and clinical experience supporting patients and providers within our advanced virtual primary care practice. This role combines administrative coordination, patient communication, and light clinical navigation, ensuring patients receive seamless, timely, and high-quality care.

Claims Supervisor in Management Ancillary Services (CMAS)

Responsible for the oversight and management of the claim processing functions related to claims adjudication, appeals, escalations, quality, and recovery. Will have direct management of a team that supports, researches, and resolves the accurate processing of healthcare claims for employer-sponsored health plans. This role sets productivity benchmarks, enforces quality standards, and drives continuous improvement.