- CVS Health (Columbus, OH)
- …and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for ... Members: o Through the use of care management tools and information/ data review, conducts comprehensive evaluation of referred member's needs/eligibility and… more
- CVS Health (Tampa, FL)
- …and every day. Candidate must be located in East Tampa or surrounding areas ( preferred zip codes 33617, 33612). This role will require 50-75% travel for face-to-face ... and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for… more
- Centene Corporation (Jefferson City, MO)
- …+ High School Diploma or GED required + Bachelor's Degree Nursing, Healthcare Management, Business Management or related field preferred + 5+ ... business stakeholders to support the integrity and quality of risk adjustment data . Collaborates with coding teams to improve documentation practices and ensure… more
- Veolia North America (Albertville, MN)
- …energy consulting and resource recovery. Veolia helps commercial, industrial, healthcare , higher education and municipality customers throughout North America. ... policy. + Calculate and process utility billing, including importing/exporting data between systems, final billing, penalties, adjustments, and delinquent notices.… more
- Queen's Health System (Honolulu, HI)
- …related field may be substituted for the education requirement. * Master's degree preferred . B. EXPERIENCE: * In addition to the education requirement, three (3) ... years experience in healthcare operations with an understanding of activity drivers impacting...cost accounting. * Two (2) years experience manipulating complex data sets, including multi-dimensional data sets. *… more
- UCLA Health (Los Angeles, CA)
- …knowledge of hospital billing, coding, and pricing practices, as well as advanced data analysis skills, to monitor, maintain, and improve the charge master records. ... and health plan billing regulations. + Analyze complex billing/financial data . + Summarize data and present findings...+ Bachelor's degree in business, finance, or related field, preferred + Eight or more years of experience in… more
- Ochsner Health (New Orleans, LA)
- …under strict deadlines, often in a high pressure setting, experience working independently. Preferred - + Experience in healthcare or revenue cycle - ... Math, Business Administration, or Computer Science or related area Preferred - Master's degree in Business Administration (MBA) or...field **Work Experience** Required - 3 years experience in healthcare finance or in a related field including two… more
- Corewell Health (Grand Rapids, MI)
- …with applicable parties through complete resolution. Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and ... methodologies - assuring compliance with laws and regulations while using accumulated data . Reviews and monitors adherence to documented plans and programs including… more
- The Cigna Group (St. Louis, MO)
- …skills with ability to utilize MS Excel and Access. + Knowledge of PBM and healthcare industry preferred . + Ability to organize and plan multiple projects. + ... + Assist Account Management with issue resolution by providing data analysis and special reporting requests. + Provide ...vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to… more
- IBM (Rocket Center, WV)
- …case processing. Overall duties will consist of making phone calls to private healthcare providers, data entry, processing PMR requests, and quality assurance ... Processing System to retrieve and validate veterans' PMRs from PHP's (Private Healthcare Providers). Additionally, the candidate will validate the outputs of the PMR… more