- UCHealth (Denver, CO)
- …with payors and insurers, and clinicians to ensure the pay-ability of claims . + Performs root cause analysis and collaborates on the development, implementation, ... Incentive Bonus to recognize employee's contributions to our success in quality , patient experience, organizational growth, financial goals, and tenure with… more
- CVS Health (NH)
- …and assesses internal and external customer feedback to enhance continuous quality improvement on the implementation process (ie, systems, resources, tools, etc.). ... healthcare, PBM, Account Management + Medicare experience + Knowledge of Claims and Benefits Testing/Processing + Automation, AI tools **Anticipated Weekly Hours**… more
- AdventHealth (Maitland, FL)
- …financial modeling and risk forecasting. + Identifies and implements improvements in quality control and timeliness of reporting. + Extracts, collects, analyzes, and ... sources using knowledge of healthcare managed care contracts and administrative claims data. **The expertise and experiences you'll need to succeed:**… more
- AdventHealth (Maitland, FL)
- …financial modeling and risk forecasting. Identifies and implements improvements in quality control and timeliness of reporting. Extracts, collects, analyzes, and ... various sources using knowledge of healthcare managed care contracts and administrative claims data. Employs existing complex models and implements them on new… more
- Insight Global (Maitland, FL)
- …financial modeling and risk forecasting. Identifies and implements improvements in quality control and timeliness of reporting. Extracts, collects, analyzes, and ... various sources using knowledge of healthcare managed care contracts and administrative claims data. We are a company committed to creating diverse and inclusive… more
- World Insurance Associates, LLC. (Syosset, NY)
- …cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly, ... format + Proven ability to manage multiple projects simultaneously and produce quality deliverables on time + Possess strong administrative and computing skills,… more
- Highmark Health (Lincoln, NE)
- …actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- SSM Health (St. Louis, MO)
- …performance and comparison to benchmarked standards. + Ensure and manage the quality and timeliness of transaction information to maintain and manage comprehensive ... leaders for proactive resolution of all property matters. Ensures all landlord default claims are resolved within cure period and documents are properly recorded. +… more
- MVP Health Care (Rochester, NY)
- …every day. We've been putting people first for over 40 years, offering high- quality health plans across New York and Vermont and partnering with forward-thinking ... other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. + Perform research using "best… more
- Robert Half Technology (Woodbridge, NJ)
- …focus on completeness, accuracy, and consistency to ensure data is of the highest quality . * Work with the Actuarial and Financial Planning and Analysis (FP& A) ... reported (IBNR) calculations both based on financial and operational data (eg, claims closing ratios). * Support the development and validation of actuarial… more
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