• Underwriter - REMOTE

    Prime Therapeutics (Eagan, MN)
    …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data + ... Maintains appropriate documentation and provides reports as needed, including documenting all pricing decisions + Participates in development of methodologies, models, reports and strategies to support objectives of the position + Other duties as assigned… more
    Prime Therapeutics (12/19/25)
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  • Administrative Program Specialist-A

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …commercial underwriters or by self-insuring. This requires the duty of managing all insurance claims , including all tort claims made against the state or any ... state agency, whether or not covered by insurance. The Administrative Program Specialist-A position is responsible for performing duties that involve a variety of administrative program functions The Division of Administration is the state government's… more
    Louisiana Department of State Civil Service (12/19/25)
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  • Strategic Initiative Design Analyst

    Centene Corporation (Tallahassee, FL)
    …management experience preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Working knowledge of ... managed care information or claims payment systems preferred. Previous structured testing experience preferred. **_By applying to this requisition, you acknowledge… more
    Centene Corporation (12/19/25)
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  • Pharmacy Technician / $2500 Sign-On Bonus

    BrightSpring Health Services (Hilo, HI)
    …reports as needed + Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim regulations and processes + ... a computer + Skilled in performing detailed work + Knowledge of Medicaid claims regulations and processes + As required by state, technician licensure or… more
    BrightSpring Health Services (12/19/25)
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  • Research Data Science Manager

    HCA Healthcare (Nashville, TN)
    …reference throughout the project lifecycle + Construct and manage large electronic claims and healthcare datasets as well as research registries; knowledge in domain ... database design, data transfer methods, electronic health record and health care claims standards and/or analytical techniques used in research programs + Start up… more
    HCA Healthcare (12/19/25)
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  • Agency Attorney L1

    City of New York (New York, NY)
    …review requests for proposals, assist the unit in reviewing prelitigation construction claims , perform legal research on questions related to the Division's work, ... state law and NYCHA's contract procedure regulation. - Analyze prelitigation construction claims . Additional Information 1. Resume and cover letter must also include… more
    City of New York (12/19/25)
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  • Agrc US Casualty Risk Consulting: Managing…

    AON (OH)
    …actuarial and analytics, risk financing and property and casualty risk control and claims services. We have an excellent career opportunity in our US Global Risk ... actuarial and analytics, risk financing and property and casualty risk control and claims services. We have an excellent career opportunity in our US Global Risk… more
    AON (12/19/25)
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  • Reimbursement Specialist

    Growth Ortho (Sioux Falls, SD)
    …Perform timely follow-up on outstanding A/R, including unpaid, underpaid, and denied claims across all payer types. Analyze EOBs and prepare effective appeals to ... Audit insurance payments for contract and fee schedule compliance. Manage claims through full resolution, ensuring compliance, integrity, and optimal reimbursement… more
    Growth Ortho (12/19/25)
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  • Data Analyst II Healthcare Analytics

    Centene Corporation (Lansing, MI)
    …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. **_By applying to this… more
    Centene Corporation (12/19/25)
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  • Vocational Rehab Counselor Sup

    State of Indiana (Muncie, IN)
    …or challenging cases, problem solving, and problem resolution. + Approve a sampling of claims and all fiscal authorizations and claims over edit limits for VR ... client services. + Analyze spending patterns and develop strategies necessary for remediation with individual counselors. + Solicit ongoing input from staff, consumers, providers, and other community partners to maintain current understanding of program needs.… more
    State of Indiana (12/19/25)
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