- AmeriHealth Caritas (Newtown Square, PA)
- …FACETS requirements into well-engineered, tested and deployed business applications systems , including new code construction, modifications to existing modules ... 4 years of experience using Core FACETS (Version 5.0 and above) with Claims Processing, Providers, Member Enrollment and Finance modules. 3 years of experience using… more
- Naval Foundry and Propeller Center (Philadelphia, PA)
- …for mitigation actions. Perform investigations to document reasons for modification, claim , and/or administration or scheduling errors. Consults with stake holders ... Branch Heads, Division Heads, other senior NFPC-NNSY and Naval Sea Systems Command (NAVSEA) management. | Performs statistical studies, which include collecting… more
- Robert Half Finance & Accounting (San Francisco, CA)
- …relationships with partners. * Designs, implements, and manages financial systems , processes, and internal controls to ensure operational efficiency. Proactively ... improves financial processes, procedures and systems which ensure accuracy, efficiency, and where applicable, ease...Coordinates with insurance brokers to manage policies and report claims and ensures internal parties (eg, CEO, estate leadership)… more
- SUNY Morrisville (Syracuse, NY)
- …competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic ... Health Records (EHR) and claim submission + Compliance, HIPAA, and fraud prevention +...HIPAA, and fraud prevention + Reimbursement methodologies and payer systems Prepare students for the AMBA CMRS certification exam,… more
- Huron Consulting Group (Chicago, IL)
- …**CareAdvance Configuration Analyst/SME** . The ideal candidate will have experience in systems configuration, claims and the C **linical and Care Management ... design to meet the business needs. + Manages complex system configuration and related documentation. Serves as a subject...assigned. REQUIREMENTS: + **5+ years of experience in a Systems Configuration, Claims or other Operations department… more
- Exelon (Oakbrook Terrace, IL)
- …of risk and prioritizing work related to operating equipment with degraded protection systems . Support power quality and claims investigations. Position may be ... to support power quality investigations related to customer complaints. Provide system event information to support claims department investigations. +… more
- The City of Rochester, MN (Rochester, MN)
- …in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as ... for Rochester Public Utilities. The incumbent will design, create, and maintain systems used to effectively initiate, record, and report financial transactions and… more
- AIG (Jeffersonville, IN)
- The Operations Claims Analyst will work closely with the Service and Claims Operations teams to identify and pursue opportunities for evaluating business ... + Communicate and execute initiatives in partnership with Service and Claims Operations. + Proactively identify process improvements. + Maintain good working… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …(KOLs), Digital Opinion Leaders (DOLs), Payers/Access Stakeholders, Academic/Integrated Health Systems , Patients/Caregivers, and Patient Advocacy Groups. The role is ... input from KOLs and Payers on trial design and clinical/economic value). ** System and Data Management** + Coordinate with stakeholder engagement liaisons (from GMA,… more
- Subaru of America (Pennsauken, NJ)
- …flow from draft to distribution). + Supports manager to provide information required in the claims system recall parameters to the SOA Claims team and ... for SBR by compiling data from the SOA warranty claims system , relevant data from Oracle Business...information. + Interacts with SOA IT to ensure that systems support changing business requirements. Qualifications + Bachelor's Degree… more