- Sedgwick (Raleigh, NC)
- …A comprehensive benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and life insurance, employee ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- NTT DATA North America (Raleigh, NC)
- …HEDIS metrics + Helping to maintain the processes that ingest and integrate claims and clinical data to produce quality metrics and associated care gaps + ... 2 years strong understanding of HEDIS measures and how claims and clinical data work to inform those measures...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- Evolent (Raleigh, NC)
- …and member-centric products. This role plays a critical part in both ** Medical Cost Management** and **Product Management** , leveraging advanced analytics to solve ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Affordable Care (Morrisville, NC)
- …payor relationships, including negotiation of contracts, resolution of systemic claims and credentialing issues, and optimization of payor-related processes. ... Serve as the primary point of escalation for systemic issues related to claims , denials, authorizations, and billing. + Collaborate with internal teams to address… more
- UIC Government Services and the Bowhead Family of Companies (Stumpy Point, NC)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- UIC Government Services and the Bowhead Family of Companies (Stumpy Point, NC)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- UIC Government Services and the Bowhead Family of Companies (Charlotte, NC)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- CVS Health (Raleigh, NC)
- …information; Works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes. + Monitors daily status ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Raleigh, NC)
- …every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, you will work ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Raleigh, NC)
- …local service center, including but not limited to customer service, claim , provider services, complaints, grievances, and appeals, implementation, and/or plan ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more