- Highmark Health (Pittsburgh, PA)
- …presentation of findings to internal and external audiences, customer managers, clinical staff, compliance agencies, group accounts, providers, agent plans, and ... in Computer/Information Science, Mathematics/Statistics, Economics, Industrial Engineering or Operations Research , or related field **Substitutions** + None **Preferred** +… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Vendors, IT, Payment Systems, Operations Services, Provider Network Management, Market, and Clinical teams as needed to research financial issues, risks, and ... more about us at www.amerihealthcaritas.com . The **Provider Network Data Oversight Analyst ** performs the role of payment terms data source expert to support… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Under the general supervisor of the Manager Accounts Receivable, the analyst is responsible for identifying, validating, submitting and reconciling all maternity ... System and the NBTT) available for reporting so that research and analysis can be completed on discrepancies. +...analysis experience. + Basic understanding of Claims Processing / Clinical Coding and business practices. + Basic working knowledge… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
- Highmark Health (Harrisburg, PA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job is a non- clinical resource that coordinates, analyzes, and interprets the benefits and claims processes ... for clinical teams and serves as a liaison between various...claims staff regarding the final adjudication of complex claims. Research and investigate conflicting benefit structures in multi-payor situations.… more
- Trinity Health (Newtown, PA)
- …& ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. ... are occurring. May perform or provide "at elbow" guidance to clinical departmental daily reconciliation processes including ensuring supply charges are appropriate… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
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