- Centene Corporation (Jefferson City, MO)
- …of finance, accounting, operations , or auditing experience. Experience in claims operations preferred. **Compliance/ERM:** 7+ years experience preferred Pay ... + Oversee retrospective clinical audits to ensure accurate and timely payment of claims . + Interpret review results, develop action plans and present findings to… more
- AIG (Devon, PA)
- …gain knowledge and have the opportunity to lead in other functional areas like operations , compliance, claims , etc. How you will create an impact . Developing ... UQR Audits and Stewardship meetings.. . Collaborating with Actuarial, Accounting, Claims , Operations , Program Development, Risk Management and Underwriting as… more
- AIG (Atlanta, GA)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions. ... development analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management. AIG Risk Management (AIGRM) provides… more
- AIG (Philadelphia, PA)
- …will gain knowledge and have the opportunity to lead in other functional areas like operations , compliance, claims , etc. What you need to know: + Developing and ... UQR Audits and Stewardship meetings.. + Collaborating with Actuarial, Accounting, Claims , Operations , Program Development, Risk Management and Underwriting as… more
- Elevance Health (Norfolk, VA)
- …and a minimum of 5 years of experience in a healthcare organization supporting operations , provider or claims ; or any combination of education and experience, ... **Provider Operations Coordinator** **Location:** This role requires associates to...Key Performance Indicators. Participates in pre and post implementation claims audit reviews. + Provides subject matter expertise support… more
- Centene Corporation (Queens, NY)
- …and external stakeholders related to operational areas. + Oversee day-to-day operations including claims processing, provider network management, member ... and other regulatory bodies. + Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive… more
- Humana (Annapolis, MD)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- AIG (Chicago, IL)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions. ... trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. +...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Hatch (Pittsburgh, PA)
- …Major Market:Pittsburgh Job Segment: Procurement, Compliance, Contract Manager, Document Management, Claims , Operations , Legal, Technology, Insurance Apply now " ... globe. With expertise insustainable (https://bit.ly/32fZGnV) studies, asset building and operations , and industry-leading efficiencies, our best-in-class team leverages methodologies,… more
- Alameda Health System (San Leandro, CA)
- …access (scheduling, registration, and referral coordination and revenue cycle operations (billing, claims , denials, authorizations, registration related edits, ... Director, Ambulatory Access & Revenue Operations + San Leandro, CA + Fairmont Hospital...- scheduling, registration, and referral coordination. Revenue - billing, claims , denials, authorization, and registration impact Determines access and… more