- City of New York (New York, NY)
- …poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to ... III position to function as the Human Services Payment Analyst in the DHS Human Services Unit who will:...and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the… more
- Fordham University (Bronx, NY)
- …London Centre in the United Kingdom. The University offers a comprehensive benefits package that includes medical, dental, and vision insurance; flexible spending ... Reporting to the Senior Director of Planning, Analytics, and Risk, the Analyst , Treasury & Risk supports the University's treasury operations, insurance program, and… more
- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... WFM Legal team on regulatory requirements o Reviewing applicable product claims /statements and determining claim validation criteria o Developing and negotiating… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- CVS Health (PA)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... * 3-5 years' experience with business segment specific policy, benefits , plan design and language. * Strong verbal and...and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of… more
- CVS Health (TX)
- …issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. * Optimizes ... are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or… more
- TEKsystems (Chattanooga, TN)
- …intricate router work, fee schedules, sliding fee scales, and payment plans. - Claims and router experience are also considered valuable for the position. Required ... Work Queue Build, Epic certified, Epic, Build, Epic PB Claims , Epic PB Claims Build, Router Experience,...Permanent position based out of Chattanooga, TN. Pay and Benefits The pay range for this position is $75000.00… more
- CareFirst (Baltimore, MD)
- …configuration set-up and maintenance, setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration ... In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all… more
- Transdev (Lombard, IL)
- …of Accounting on a variety key projects. We offer a competitive compensation and benefits package including: ( Benefits may vary depending on location policy.) - ... days; 8 standard and 4 floating - Other standard benefits : 401(k) retirement plan, medical, dental and vision, life...support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department… more
- Cardinal Health (Hagatna, GU)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
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