- Centene Corporation (Oklahoma City, OK)
- …on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other ... Data Analysts. + Provide advanced analytical support for business operations in all or some of the following...operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy,… more
- Philadelphia Insurance Companies (New York, NY)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... that resolve problems in the best interest of the business + Analytical and reasoning skills with the capability...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Ochsner Health (New Orleans, LA)
- …outcomes. **Education** Required - Bachelor's degree in Accounting, Finance, Math, Business Administration, or Computer Science or related area Preferred - Master's ... degree in Business Administration (MBA) or other advanced degree in Accounting,...**Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. + Prepare and submit… more
- AdventHealth (Altamonte Springs, FL)
- …from the payers in Athena/Epic and MSOW Network Management thus releasing held claims and updating the status report for the practices. + Reviews and resolves ... including Commercial and Government payers **Required** + Bachelor's in healthcare, business administration **or** related field **Preferred** + In depth knowledge… more
- Geisinger (Danville, PA)
- …system, including the areas of billing, accounts receivable, capitation payable, claims payable, weekly check processing, new product development, and the ... functional and technical expertise in assigned areas of financial systems and business operations. + Audits financial data and configuration plans prepared by other… more
- WTW (Minneapolis, MN)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... issues and trends, summarising findings and potential materiality to current/future business strategy. + Exploring and evaluating new modelling techniques (eg… more
- Subaru of America (Lebanon, IN)
- …design and approval of packaging specifications, reviewing of damage and defect claims data and continuous improvement projects. CORE RESPONSIBILITIES + Develops and ... and labor suppliers for validity against established pricing, contracts, and business rules and agreements. + Resolves and negotiates billing discrepancies with… more
- Molina Healthcare (Racine, WI)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc. +… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Koniag Government Services (Vienna, VA)
- …peripherals to include assessing system health, replacing components and submitting warranty claims with the vendor. **Requirements** + Shall have four years of ... KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure… more