- Danaher Corporation (New York, NY)
- …governed multi-modal datasets (text, tabular, device logs, lab results, EHR/ claims ), develop and validate production-grade RAG, fine-tuned LLMs, and task-specific ... have the opportunity to: + Conduct RWE analytics of EHR/ claims /registries/device telemetry to drive biomarker discovery and development. +...in good faith believe is the range of possible compensation for this role at the time of this… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other ... example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance companies to resolve rejections interpreting… more
- Coty (New York, NY)
- …development, testing, documentation, and regulatory compliance, while supporting claims substantiation and technical reporting throughout the product development ... TPMs, request internal testing (microbiology, safety, efficacy) + Coordinate claims testing plan and ensure with RAPIC that test...+ Base Salary Range: $75,000 - $90,000 + Additional Compensation : This position is eligible for an annual bonus… more
- Humana (Columbus, OH)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- Humana (Juneau, AK)
- …existing Medicaid business processes, with a focus on eligibility, enrollment, claims , and compliance workflows. This role develops sustainable, repeatable, and ... Indicators (KPIs)** + Reconciliation Accuracy Rate: Percentage of Medicaid claims and payments accurately reconciled without discrepancies + Timeliness of… more
- Sedgwick (Phoenix, AZ)
- …Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required. ... required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …statistical tools/languages such as SAS, SPSS, R + Functional experience in Compensation , Benefits, Payroll + Knowledge of Software as a Solution (SaaS) solutions ... technical management experience Preferred: + Master's Degree and demonstrated compensation or financial management experience **Competencies** **Accountability for Results… more
- Caterpillar, Inc. (Morton, IL)
- …+ Partner with non-operational resources to support site photography projects. + Drive claims reduction and attainment of claims KPI's through claims ... Experience (https://www.youtube.com/watch?v=GvCYWtWARlk&list=PLwAXbfivFg0jmiNqqgFLeQJpRB\_i-UVln&index=25) . **Summary Pay Range:** $144,960.00 - $217,320.00 Compensation and benefits offered may vary depending on multiple… more
- Health Care Service Corporation (Springfield, IL)
- …party liability situations; compiling pertinent information; initiating action to recover claims payments; and negotiating settlements for reimbursement of claims ... Job Qualifications:** + 2 years of college or 2 years' experience in claims administration or, insurance administration, or customer service + Analytical skills. +… more
- Bayer (Whippany, NJ)
- …supports the following rationale for conducting customer audits: 1. **Accuracy of Claims ** : To ensure proper reimbursement and prevent revenue loss. 2. **Contracts ... laws and regulations. 4. **Error Identification** : Detect discrepancies in claims eligibility, processing, invoicing and reporting. 5. **Insights into Customer… more
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