- Wolters Kluwer (Minneapolis, MN)
- …as a consulting team member and an individual technical/business solutions consultant . Consulting work may include project management, technical consulting including ... an all-in-one set of management modules including entities, contracts, compliance, claims , intellectual property, real estate, invoices, GDPR and ticketing. In this… more
- Dragonfly Health (IL)
- …improve provider onboarding and training. + Monitor provider operations including claims , billing, redelivery issues, and service standards. + Maintain CRM records ... issues quickly, and driving continuous improvement, the Senior Provider Services Consultant supports both operational success and client satisfaction. **Let's soar… more
- HUB International (Dublin, OH)
- …(sales), as well as mentor and develop their support team. The Benefits Consultant accomplishes this by bringing a consultative approach to our clients while ... to clients regarding Health Care Reform + Lead and develop strategy based on claims data analytics + Listen and counsel on key compliance impacts including Health… more
- Cardinal Health (Hagatna, GU)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
- Health Care Service Corporation (Chicago, IL)
- …regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to ... provider inquiries in an effective and timely manner and assist in claims resolution and payment problems. Must work closely with the Pricing, Full Service Units,… more
- Philadelphia Insurance Companies (Chicago, IL)
- …control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring ... and completed, responding to customer requests and needs and supporting underwriting and claims at renewal and during the policy period. Essential Job Functions: +… more
- DXC Technology (Troy, MI)
- …Customer personnel involving customer products, and processing product warranty claims . Representatives provide technical support and warranty adjudication on heavy ... (US and Canada). The position also includes the processing and verification of warranty claims . Training would be provided on all products and software used in daily… more
- Turner & Townsend (Houston, TX)
- …and client expectations. + Manage post-contract processes including change control, claims evaluation, and final account settlements. + Prepare clear, commercially ... client expectations. + Managing post-contract processes including change control, claims evaluation, and final account settlements. + Preparing clear, commercially… more
- CVS Health (Columbus, OH)
- …analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory & ... in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools… more
- Guidehouse (Chicago, IL)
- …Power BI, Tableau, TIBCO Spotfire or others + Strong understanding of healthcare claims (facility or payer) data and/or HIT applications including those used to ... manage patient, financial, clinical, claims and/or operational data, is a strong advantage + Highly motivated, driven, and dynamic attitude towards work and career.… more