- Convey Health Solutions (Fort Lauderdale, FL)
- …for ingestion, processing and consumption including but not limited to eligibility, claims , payments and risk adjustment. The Senior Data Engineer supports Pareto ... + Experience working with healthcare data, including but not limited to eligibility, claims , payments, and risk adjustment datasets. + Expertise in modeling data in… more
- HNTB (Charlotte, NC)
- …and databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Supports the preparation ... of reports and performance dashboards for a variety of project controls metrics, analyzes data and creates and/or participates in client presentations. + Assists with defining project risks and maintaining project risk register. Escalates project risks and… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... facility; managing program activities such as patient transport, ambulance claims , and common carrier transportation; planning and directing administrative… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- City of New York (New York, NY)
- …with internal personnel for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize agency reimbursement by ... ensuring all expenditures are captured and reported accurately in claims . Reconcile DOHMH submitted claims after state approval. Reconcile and submit… more
- Travelers Insurance Company (Centennial, CO)
- …of Travelers systems and protocols. + Exposure to Personal and Business Insurance claims of basic to moderate complexity. + Learn and understand effective strategies ... for investigating, negotiating and resolving claims thoroughly, accurately and efficiently. + Develop knowledge of...Work with a designated coach to develop knowledge of claims through core assignments. + Complete challenging and meaningful… more
- Centene Corporation (Indianapolis, IN)
- …OPT, or CPT.** **Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal ... HEDIS production functions including data entry, calls to provider's offices, and claims research. + Manage large volumes of documents including copying, faxing and… more
- Newell Brands (Little Rock, AR)
- …coordinate tax audits, inquiries, and notices from tax authorities regarding incentive claims . + Assist in preparing reports and presentations for senior management ... the smooth functioning of the government incentives function. + Ensure all claims and applications comply with tax regulations and firm standards. This includes… more
- CVS Health (Hartford, CT)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more