- ENFRA (Metairie, LA)
- …Prepare contract supplements (on larger projects, this responsibility is with the Contracts Manager ) + Support the development of claims including back charges ... that impact project performance. Focusing on continual improvement and opportunities for risk mitigation is a key responsibility of this position. The Senior Project… more
- Elevance Health (Metairie, LA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- CVS Health (Baton Rouge, LA)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... and the team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be successful in this role,… more
- Ochsner Health (Morgan City, LA)
- …environment. **Certifications** Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification ... data and required forms necessary for the processing of charges/ claims , and ultimately, the receipt and processing of payments...that could contain diseases. There may be an occupational risk for exposure to all communicable diseases. Because the… more
- Baker Construction (New Orleans, LA)
- …advises the Project Manager of issues + Interfaces with Safety and Risk Management in establishing clinics, managing first report of injuries, and assisting with ... field activities and spends a majority of time working with the Project Manager supporting project administration on multiple small projects, or one medium to… more
- Entergy (Hammond, LA)
- …Category Management, Supplier Diversity, Supplier Sustainability), Tax, Finance, Operations, Risk Management, Safety, Legal, Continuous Improvement. **Key Tenants of ... provisions and administer contract change orders in collaboration with the project manager and the change order process + Execute contract governance and provide… more
- Highmark Health (Baton Rouge, LA)
- …areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
- Entergy (New Orleans, LA)
- …Project Procurement, Supplier Diversity, Supplier Sustainability), Tax, Finance, Operations, Risk Management, Safety, Legal, Continuous Improvement. **Key Tenants of ... provisions and administer contract change orders in collaboration with the project manager and the change order process + Execute contract governance and provide… more
- Highmark Health (Baton Rouge, LA)
- …review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and supporting the presentation of ... and testing processes in partnership with the pharmacy benefits manager . The successful candidate will possess excellent communication, analytical, and… more