- 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
- General Dynamics Information Technology (Fairfax, VA)
- …the company to external and/or internal customers, supporting Medicaid related claims and billing questions. You will provide assistance and problem resolution ... quickly + Ability to work independently or as a part of a group + Preferred Qualifications: + Healthcare...a group + Preferred Qualifications: + Healthcare billing and claims experience + Teaching/training experience + Experience with Zoom,… more
- AIG (Atlanta, GA)
- …we stay on top of the latest emerging risk issues that could become claims activity. We are reimagining how we help the organization manage risk, transforming our ... within supply chain + Conduct plan reviews + Evaluate claims data and work with our analytics team to...AIG on diverse projects. + Ability to complete assignments on- time . + Excellent interpersonal and communications skills. + Computer… more
- Fortrex (Atlanta, GA)
- …Receivable. . Monitor and work with internal departments to resolve outstanding AR claims and chargebacks. . Monitor weekly accrual and year end accrual of potential ... claims . . Communicate regularly with field operations personnel. ....hybrid role, partially based at the Corporate Headquarters, combining time in a traditional office setting with remote work… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Plan Solutions, a full-service health plan administrator, is looking for a part - time board-certified physician with interest and experience in managed care ... and Worker's Compensation self-funded clients seeking cost-effective resolution of their members' claims . Your interest and help leading and developing our team and… more
- Health Care Service Corporation (Downers Grove, IL)
- …plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional ... *Demonstrated proficiency in provider reimbursement methods. *Working knowledge of claims processing systems. *Effective organizational and planning skills. *Ability… more
- Health Care Service Corporation (Chicago, IL)
- …plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional ... Job Qualifications:** + Experience with CMS healthcare data (eg, MMR, Claims , Eligibility, Provider) + Experience with CMS payment methodologies (eg, IPPS,… more
- New York State Civil Service (Albany, NY)
- …Category Financial, Accounting, Auditing Salary Grade 14 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $53764 to $85138 ... Annually Employment Type Full- Time Appointment Type Permanent Jurisdictional Class Competitive Class Travel...but are not limited to Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management Specialist Trainee… more
- IQVIA (ME)
- …as knowledge, skills, education, and experience; location; and/or schedule (full or part - time ). Dependent on the position offered, incentive plans, bonuses, ... to drive differentiated service offerings for clients and foster greater professional development opportunities for internal talent. * Build expertise in… more
- Guardian Life (Bethlehem, PA)
- …advanced actuarial and financial applications. This role will play a critical part in transforming our actuarial and finance functions by building scalable data ... models and actuarial tools used for reserving, pricing, and FP&A (eg, claims projection model, LTD Reserving model) + Automate manual actuarial/finance processes by… more
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