- AmeriHealth Caritas (Newtown Square, PA)
- …trust throughout the claims auditing process + Act as a liaison between payment integrity operations and provider network management to address escalations and ... **Role Overview** The **Director of Payment Integrity Solutions** is responsible for overseeing ...NLP-based automation, coupled with continuous policy refinement, and strong Plan and provider stakeholder engagement. The Director leads efforts… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) ... utilizing code editing guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional work assignments require in-depth… more
- US Bank (Horsham, PA)
- …programs, payment solutions, virtual payments, treasury and accounts payable operations . - Strong analytical and problem-solving skills with proficiency in data ... - Stay Current on Industry Trends: Monitor developments in payment solutions, card programs, and regulatory changes to ensure...designed to help you and your family boost your health , protect your financial security and give you peace… more
- The Cigna Group (Philadelphia, PA)
- …levels of the organization. This role will partner with network and Clinical Operations , Coverage Policy Unit, and other matrix partners to understand how proposed ... the organization. **Qualifications:** + Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, or Finance or equivalent work experience. +… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...knowledge gap between the client and rebate/financial and reporting operations . This team is a client facing group of… more
- Cardinal Health (Harrisburg, PA)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... **_What Finance Operations contributes to Cardinal Health_** Finance oversees the...with any disputes/inquiries + Assist internal cash team with payment application details for vendor payments + Assist with… more
- Cardinal Health (Harrisburg, PA)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... denied claims, posting payments, managing accounts receivable, assisting patients with payment plans, and maintaining accurate and confidential patient records in… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...every day. **Position Summary** As a Senior Analyst, Financial Operations - Performance Reporting, you will have responsibility for… more
- Penn Medicine (Philadelphia, PA)
- … and health equity goals and achievement. Department On-going Clinical Operations : + Conceives, designs, and implements clinical operations dashboards and ... each day. Are you living your life's work? **Position: Director of Operations CPUP** **Entity: Clinical Practices of the University of Pennsylvania (CPUP)**… more
- AON (Fort Washington, PA)
- Aon Is Looking For An Operations Specialist I As part of an industry-leading team, you will help empower results for our clients by delivering innovative and ... effective solutions as part of our Operations Support Team within Aon Affinity. This role requires...and document generation, assembly, archival and retrieval + Facilitate payment processing You Bring Knowledge and Expertise: + Strong… more