- Omaha Children's Hospital (Omaha, NE)
- …(High proficiency) + Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental program regulations. ... and people with disabilities. **A Brief Overview** The Access Systems Analyst is responsible for managing and/or coordinating organizational initiatives to optimize… more
- Sedgwick (Lincoln, NE)
- …+ Thorough knowledge of related field procedures or insurance-related procedures and/or managed care systems and operations + Strong knowledge of project ... Fortune Best Workplaces in Financial Services & Insurance (Remote) Process Improvement Project Analyst - Casualty **PRIMARY PURPOSE** **:** : To manage, support … more
- First National Bank of Omaha (Omaha, NE)
- …success.** **Summary of the Job:** We are seeking an experienced fixed income analyst to join our investment team. A successful candidate will be able to ... investments, primarily in the securitized product sector, for inclusion in our managed portfolios. The candidate will spend the majority of their time identifying… more
- Molina Healthcare (Grand Island, NE)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation...4 years of experience in previous roles in a managed care organization, health insurance or directly… more
- Evolent (Lincoln, NE)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... teams in developing the strategic approach for innovative and in-demand value-based care pursuits. + Support the development of capitated risk partnerships,… more
- Molina Healthcare (Kearney, NE)
- …Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation...for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong… more
- Highmark Health (Lincoln, NE)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... governmental, contractual, and/or corporate entities. Provide consultation and analytic support to assigned functional areas. Continuously monitors regulatory changes,… more
- Molina Healthcare (Omaha, NE)
- …proficiency. **Preferred Qualifications** * Utilization management experience. * Health plan/ managed care organization experience. To all current Molina ... **Job Description** **Job Summary** Provides support for member clinical review processes specific to...care experience, including experience working as a behavioral analyst , or equivalent combination of relevant education and experience.… more
- Banner Health (NE)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue...Refers inconsistent patient treatment information or documentation to coding support tech, coding quality analyst or coding… more
- Humana (Lincoln, NE)
- …experience in Microsoft Excel including formulas, pivots, charts, and graphs + Experience in managed care or health care sector + Prior experience working ... community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce requested or required data… more