- CVS Health (Hartford, CT)
- …role combines deep technical expertise with domain knowledge in healthcare-particularly on ** claims and eligibility data** , though experience on the provider side ... Data Expertise:** Apply deep knowledge of payer and provider data, including ** claims , eligibility, and utilization metrics** , to inform predictive models and… more
- Baylor Scott & White Health (College Station, TX)
- …investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help conclude on ... patient complaints or incidents. Works to resolve issues before they become liability claims . + Receives information from team members who manage complaints and the… more
- Zurich NA (Queens County, NY)
- …development and sales execution mindset. This role will be filled at either the Mid- Senior or Senior Level. The hiring manager will determine the appropriate ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- AIG (Miami, FL)
- …and insurance companies across Latin America. The Facultative Political Violence Senior Underwriter will collaborate with the Regional Product Leader and other ... Product Leader of LAC Facultative Desk. How you will create an impact The Senior Underwriter - Political Violence and Cyber White Label will be responsible for… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to the Executive Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more
- MTA (Brooklyn, NY)
- …the Chief Administrative Officer. Reporting to the Chief Administrative Officer, this senior executive will lead citywide strategies and programs related to employee ... administration. + Leading internal investigations related to questionable or fraudulent claims . + Overseeing the TPA and monitoring service level agreements and… more
- Sunrise Senior Living (Bethesda, MD)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... and shed light on meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated… more
- Sunrise Senior Living (Fort Belvoir, VA)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... and shed light on meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated… more
- BrightSpring Health Services (Bowling Green, KY)
- …Sales Account Representative/Executive for our Abilis Health Plan who will work with senior care partners to assist in enrolling new residents and members. You will ... actively market our plan to new senior care partners within a plan service area. Regional...inquiries regarding eligibility, plan coverage, coordination of benefits and claim payment solutions. + Assisting with resolution to Member… more
- Humana (Albany, NY)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... team as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily responsible for implementation,… more
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