- CVS Health (Blue Bell, PA)
- …and share results of analysis with management. + Reserve Analysis: Analyze claim data and monitor reserve levels for appropriateness and demonstrate an understanding ... Develop and finalize business requirements and/or specifications for processes, tools, and systems . You will gain valuable work experience and participate in: +… more
- KPH Healthcare Services, Inc. (Greensboro, NC)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employee. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Queen's Health System (Honolulu, HI)
- …Macro Helix highly desirable. * Working knowledge of Epic electronic medical record system or other similar medical record system highly desirable. * Experience ... business units highly desirable. * Experience with retail prescription claims or hospital billing auditing highly desirable. Equal Opportunity… more
- BronxCare Health System (Bronx, NY)
- …maintaining and furthering a positive public perception of BronxCare Health System and its employees. 2. Describe responsibility:Contributes to and participates in ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Alameda Health System (Oakland, CA)
- …multiple plans. + Generous paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role ... Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports… more
- BronxCare Health System (Bronx, NY)
- …maintaining and furthering a positive public perception of BronxCare Health System and its employee. 2. Describe responsibility:Contributes to and participates in ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more