- CareFirst (Baltimore, MD)
- …and assist management in the development of fee schedules, payment policies, strategies, and workflows associated with healthcare providers reimbursement ... analyses to support CareFirst corporate position. + Provide feedback on payment policies related to Medicaid and/or Medicare processing. Participate in workgroup… more
- Insight Global (Charlotte, NC)
- …solutions. Manage project scope, analyze project metrics, and communicate with senior management and project teams. Perform end-user training on system ... in design and implementation of 3rd party solutions such as Concur, Supplier payment files, Banking solutions, HR, and Tax Solutions. Experience in Finance legacy… more
- CVS Health (Albany, NY)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... of healthcare fraud, waste and abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and… more
- BMO Financial Group (Chicago, IL)
- …Structural Market Risk position to be discussed at committee meetings comprised of senior leaders of Market Risk and Corporate Treasury for strategic discussions + ... data sources from internal sources and external vendors (eg lending system, payment system, external credit rating system) to fulfill analytical needs. + Ensures… more
- Molina Healthcare (Tampa, FL)
- …+ Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze results to identify early ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
- SSM Health (WI)
- …models to further organizational strategy. + Serves as a consultant to senior management and executive leadership to provide recommendations and support for ... newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly… more
- PNC (Brock, NE)
- …experience, and education. This role is incentive eligible with the payment based upon company, business and/or individual performance. **Application Window** ... Generally, this opening is expected to be posted for two business days from 09/08/2025, although it may be longer with business discretion. **Benefits** PNC offers a comprehensive range of benefits to help meet your needs now and in the future. Depending on… more
- SSM Health (St. Louis, MO)
- …newborns or newly adopted children (pro-rated based on FTE). + **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly ... team members instant access to their earned, unpaid base pay (fees may apply) before payday. + **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits… more
- Highmark Health (Harrisburg, PA)
- …assessments against Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI). + Assure compliance to required standards, ... procedures, guidelines and processes. + Other duties as assigned or requested. **EDUCATION** Required + Bachelor's Degree in Information Security, Information Systems, Information Assurance, Computer Science or related field **Substitutions** + 7 years of… more
- Northwell Health (Lake Success, NY)
- …invoices from subcontracts and vendors. 4. Manages billing, accounts receivable, payment reconciliation and accurate and timely completion study closure process. 5. ... Maintains up-to-date with organizational policies related to financial management of clinical research studies. 6. Maintains up-to-date with federal award financial management and reporting policies and procedures, including NIH, AHRQ, PCORI, and DOD awardee… more