- Cognizant (Augusta, ME)
- …Analyst** , you will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. ... gaps. + Interpret **paper contracts for reimbursement** and translate them into system configurations. + Configure QNXT for **new implementations and ongoing plan… more
- CareFirst (Baltimore, MD)
- …& Qualifications** **PURPOSE:** This position will manage all key aspects of systems operations, including configuration setup, system and integration testing, ... reports and queries for key operational data. The Business Systems Manager is critical in ensuring systems ..., and business processes supported by the department (eg, claims processing, enrollment and billing, financial, etc.). + Experience… more
- Fairview Health Services (St. Paul, MN)
- …accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment ... + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims… more
- Defense Health Agency (Camp Lejeune, NC)
- …Release or Discharge from Active duty) to their submissions. Although the point-preference system is not used, applicants eligible to claim a 10-point preference ... potential and actual problem areas in health care delivery systems . Assists with the investigations of Potentially Compensable Events...they arise to document factual data to deter potential claims . Interprets and applies law and policy for the… more
- Waystar (Atlanta, GA)
- …We process billions of transactions annually, leveraging a massive dataset of claims , remittances, and patient data to drive outcomes. With Waystar AltitudeAI (TM) ... using LLMs for policy document interpretation, predictive modeling for claim denial rates, intelligent task prioritization) to create differentiated, proprietary… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Tactical Systems Technician - Senior (ILO-2025-23795): Bowhead is seeking to network with a highly skilled Sr. Tactical Systems Technician to join ... candidate will possess extensive experience in Naval tactical and simulation/stimulation systems , demonstrating a strong knowledge base and subject matter expertise.… more
- Eliassen Group (Boston, MA)
- **Property & Casualty Business Systems Analyst Contract** **Boston, MA** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Reference ID:** ... Analyst is responsible for establishing and maintaining standards for systems analysis, requirements gathering, and project artifact development, standards for… more
- Montana State University (Bozeman, MT)
- …### Classification Title Working Title Assistant Professor of Environmental Water Systems Science Brief Position Overview The Department of Land Resources and ... position at the level of Assistant Professor with expertise in Environmental Water Systems Science for a preferred start date of August 2026. Faculty Tenure Track… more
- Saint Francis Health System (Tulsa, OK)
- …charges and payments to patient accounts. Reviews and corrects rejected or denied claims . Reviews and assists in collections of past due accounts. Prepares phone ... and ordering needed supplies. Remains informed and compliant with current Health System , Warren Clinic, HIPAA and OSHA policies and procedures. Decision Making:… more
- St. Luke's Health System (Twin Falls, ID)
- …Pharmacy Technicians prepare and deliver our patients' medications, submit insurance claims , input prescription data, coordinate med-syncing, and assist our patients ... City** _Twin Falls_ **Category** _Pharmacy_ **Work Unit** _Pharmacy Administration System Office_ **Position Type** _Full-Time_ **Requisition ID** _2025-101636_ **Default:… more