- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will serve as… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Senior Director, Translational Research and Biomarkers is an experienced scientific leader who oversees translation of scientific and discovery ... of insights across preclinical, early and late-stage assets. The Senior Director, Translational Research and Biomarkers will liaise with...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Cognizant (St. Louis, MO)
- Senior EDI Software Engineer **About the role** As a Senior EDI Software Engineer, Java, you will make an impact by designing and implementing solutions for ... with business analysts, developers, and stakeholders to support Member Enrollment and Claims Intake applications. **In this role, you will:** + Develop and maintain… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for a **Medical Bill Review Senior Nurse** to work from our Schaumburg, IL office. ... bill litigation, research, and resolve issues by working with corporate law, Technical Claims and other, as necessary. + Prepare, attend and participate in any… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist** will act as an operational leader in the ... limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new...+ Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Senior Manager, External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... and reports to communicate progress, insights, and recommendations to senior leadership **Qualifications** **Education and Experience:** + Bachelors degree required,… more
- Capgemini (New York, NY)
- …All underpinned by technology created with purpose. **YOUR ROLE** As a ** Senior Consultant** in our **Insurance** team focused on **Transformation Management** , you ... stream - from product development, underwriting, and policy administration to claims , billing, distribution, and servicing. . Translate business needs into… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** As the Senior Manager of Process, Policy & Governance reporting to the Senior Director, Procurement Operations; your primary focus will be the ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Clark County, NV (Las Vegas, NV)
- SENIOR MANAGEMENT ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5142202) Apply SENIOR MANAGEMENT ANALYST Salary $38.23 - ... Services Department is seeking qualified candidates to apply for the position Senior Management Analyst. This position will support the Fiscal, Grants, Contracts,… more