- Elevance Health (Mason, OH)
- …Prior experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience ... Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance...onsite will be discussed as part of the hiring process . The health of our associates and communities is… more
- CUNY (New York, NY)
- …technologists and specialists in compliance and media. This position reports to Administrative Manager and will be responsible for but not limited to the following: ... maintain weekly, monthly, quarterly, yearly, and ad hoc operational reports. - Process checks for accounts for the department; prepare financial statements and… more
- Elevance Health (Chicago, IL)
- …databases to track business performance. + Understand the value of efficient operations , through the automation of contract terms, configuration of systems to enable ... the market + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
- The Cigna Group (Jersey City, NJ)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to resolve HR business requests quickly (essential) + Leverage end-to-end process documentation, FAQs, procedures, policies, and other knowledge article content to ... such as license/certification verification, onboarding and off-boarding processes, unemployment claims , track visas, employment verifications, records management, and assist… more
- Bank of America (Jacksonville, FL)
- …reviews, communication, stakeholder updates + Guarantees seamless hand off to operations team for new processes + Provide recommendations on mitigation efforts, ... and improve the ROI and overall performance of our fraud strategies. + Identify process improvements and efficiencies via data analysis. + Partner with claims ,… more
- US Anesthesia Partners (New York, NY)
- …and management in designated practice including but not limited to process improvement, program facilitation (eg LOA), retention efforts, onboarding and training. ... include proper record maintenance. + Assists in responding to unemployment claims and/or employment verifications as needed. + Facilitates and/or provides training… more
- American Family Insurance - Corporate (Madison, WI)
- …and operations . You will report to Business Systems Senior Manager . Position Compensation Range: $61,000.00 - $101,000.00 Pay Rate Type: Salary _Compensation ... on enacted changes in legislation and regulations to assist with sales, claims or product development and maintenance. * Collaborate with various business units… more
- Ochsner Health (Kenner, LA)
- …environment. **Certifications** Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification ... clearly and professionally to varying levels of individuals throughout the patient care process + Must have computer skills and dexterity required for data entry and… more
- Chevron Corporation (Houston, TX)
- …management of complex cases (ie co-morbidities, stress & psychiatric illness & injury, claims of employees with a history of adverse action) to facilitate prompt, ... program. + Partners with local management and others on employee fitness for duty process and ensures that employees are able to perform job duties safely -… more