• Domain Architect

    HCA Healthcare (Nashville, TN)
    …regulatory compliance in areas such as patient care, inventory management, billing, and claims processing . Based on this analysis, the architect will make ... recommendations for infrastructure and software solutions and platforms that support efficient operations and optimal revenue capture. The candidate will provide leadership and technical mentorship to foster a collaborative and effective working relationship… more
    HCA Healthcare (12/20/25)
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  • Financial and Regulatory Analyst

    CentraCare (St. Cloud, MN)
    …disputes. + Work closely with the revenue cycle management team to optimize claims processing and reimbursement. + Cross-Functional Collaboration + Act as a ... liaison between Finance, Compliance, Managed Care, Revenue Cycle, and Clinical Operations teams. + Analyze clinical vendor reimbursement assumptions. + Deliver policy summaries and financial impact briefs to operational leaders, with clear recommendations. +… more
    CentraCare (12/19/25)
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  • Subrogation Investigator

    Marshfield Clinic (Marshfield, WI)
    …Experience Required: Two years previous work experience in collections, legal, claims processing , or subrogation related field. Preferred/Optional Experience: ... **Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.** **Exclusion From Federal… more
    Marshfield Clinic (12/19/25)
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  • Supervisor Intake Coordination

    Highmark Health (Charleston, WV)
    …the supervisor's functions. + Act as subject matter expert for benefit plan and claims processing + Research and investigate any privacy or compliance concerns ... (CMS, HIPAA, internal policy, etc.).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate, which may involve working across teams and with different levels of… more
    Highmark Health (12/18/25)
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  • Dir Corp Patient Access

    Covenant Health Inc. (Knoxville, TN)
    …and facilitate information accuracy, optimize the patient experience and clean claims processing . + Identifies opportunities for automation and digital ... access enhancements. + Evaluates current and new technology solutions. + As delegated by Leadership, participates in various IT-related steering committees for information technology changes which affect the Patient Access Services area and leads project… more
    Covenant Health Inc. (12/18/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more
    Highmark Health (12/18/25)
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  • Migration Support Specialist, Insurance

    HUB International (Atlanta, GA)
    …or MGA + Experience in the insurance industry, particularly in policy administration, claims processing , or underwriting. + Proven experience in data migration ... projects or IT system implementations. + Strong analytical and problem-solving skills, with a keen eye for detail. + Excellent communication and interpersonal skills. + Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and data analysis tools. +… more
    HUB International (12/12/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more
    Highmark Health (12/12/25)
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  • Principal Pricing Analyst - REMOTE

    Prime Therapeutics (Baton Rouge, LA)
    …analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field** **3 years of experience ... using Tableau, SQL, SAS, Alteryx, Teradata, R, or Python technologies** **Must be eligible to work in the United States without the need for work visa or residency sponsorship** **Additional Qualifications** **Extensive PBM industry knowledge and deep… more
    Prime Therapeutics (12/11/25)
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  • VP/Director of Finance

    Robert Half Finance & Accounting (Mount Prospect, IL)
    …audits while safeguarding financial health. * Supervise revenue cycle processes, including claims processing , payment posting, and collections, with a focus on ... orthodontic-specific workflows such as payment plans and global fees. * Optimize billing and insurance verification procedures to enhance efficiency and reduce denials. * Prepare and deliver accurate financial reports on a monthly, quarterly, and annual basis… more
    Robert Half Finance & Accounting (12/11/25)
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