- Allied Universal (Brighton, MA)
- …build a schedule that works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a Security Officer with Allied ... Join Us:** + **Smart Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:** Get paid training and access… more
- MVP Health Care (Rochester, NY)
- …responsibilities to the Underwriting team. Your primary activities will include analyzing claims data to identify trends, patterns, and insights that inform business ... enjoys a varied workload. **What You'll Do** + Analyze claims data from various sources to identify trends and...rates for new and existing accounts based upon census, claims and other group information available + Work cooperatively… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to...+ Create and maintain pricing model related to insured claims and insurance premiums + Works with assigned organizational… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …areas, its products, and general functions. + Assists with the monitoring of claims . + Supports colleagues with gathering the data collection and analysis associated ... Standard Office skills. . Fundamental concepts of insurance policy renewals and claims handling. + Insurance industry and terminology. . Fundamental concepts of… 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
- Zelis (Plano, TX)
- …within the adjudication system. + Validate and test contract configurations for claims pricing accuracy. + Maintain fee schedule in contract databases and apply ... products, update and maintain provider groups within client databases to ensure seamless claims routing. + Handles confidential material on a regular basis and is… more
- CareFirst (Baltimore, MD)
- …setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business ... requirements and objectives towards determining the optimal configuration of the requirements. Creates complex design documents through the assessment of requirements. Assesses alternatives to different designs and chooses best solution to fit business needs.… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** **Qualifications:** Hospital or physician claims experience is required. Ideal candidate has experience with Epic, ... Experian Health System, Hospital Claims and/or Reimbursement contracts. **Schedule:** Full Time, Monday-Friday, 7:00 AM - 4:00 PM or 8:00 AM - 5:00 PM **Location:**… more
- Centene Corporation (Tallahassee, FL)
- …management experience preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Working knowledge of ... managed care information or claims payment systems preferred. Previous structured testing experience preferred. **_By applying to this requisition, you acknowledge… more
- CVS Health (Lansing, MI)
- …analysis to estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers and identifies ... opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement. + Assesses impacts of new risk-sharing… more