- Bozeman Health (Bozeman, MT)
- …This role oversees and coordinates the insurance billing function for Bozeman Health and all related entities, including claims submission, follow-up, and ... performance. Eligible applicants must reside within commuting distance of Bozeman Health 's main campus. Position Summary: The Insurance Billing Supervisor is… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees ... a transition to a business model focused on population health management - our goal is to keep entire...potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or… more
- CVS Health (Jefferson City, MO)
- …you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for ... At CVS Health , we're building a world of health...educating customers about their benefits and claims while resolving issues and directing them to helpful… more
- TAD PGS, Inc. (High Point, NC)
- …administration, and annual enrollment activities; assist employees with benefit questions and claims resolution. + Health & Safety: Promote a strong safety ... culture, educate employees on safety practices, and partner with managers to drive continuous improvement in workplace safety. + HR Administration: Maintain accurate records in HRIS, ensure compliance with company and regulatory requirements, prepare HR… more
- University of Pennsylvania (Philadelphia, PA)
- …development and application of statistical and machine learning methods for analyzing electronic health records (EHRs) data, claims data, and biobank data; and ... (2) collaboration on cutting-edge translational biomedical research with researchers in Penn School of Medicine and Children's Hospital of Philadelphia. The successful applicant will have an opportunity to work under the supervision of PI Dr. Yong Chen, with a… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …public Strong organizational and time management skills. Assertive in resolving unpaid claims . EQUAL OPPORTUNITY Redeemer Health is an equal opportunity ... OVERVIEW Joining Redeemer Health means becoming part of an inclusive, supportive...The Account Receivable Specialist is responsible for performing resolution-oriented claims submission and follow-up to achieve cash recovery and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …focus on + Development of initiatives to improve members health and health care quality and moderate claims trends + Design, implementation, and measurement ... the areas of medical policy, payment policy, care management, pharmacy, health and wellness programs, fraud/waste/abuse, behavior change, unit cost initiatives,… more
- State of Massachusetts (Boston, MA)
- …Office direct application page. **www.mass.gov/ago/employment . *ASSISTANT ATTORNEY GENERAL* * * HEALTH CARE & FAIR COMPETITION BUREAU FALSE CLAIMS DIVISION__ __ ... experienced and highly motivated attorney to join her False Claims Division as an Assistant Attorney General. The False... Division as an Assistant Attorney General. The False Claims Division holds accountable individuals and companies that make… more
- Corewell Health (Grand Rapids, MI)
- …Quality Improvement, Utilization Management, Care Management, Medicare Product Development, Claims , Digital Services, Population Health , Value Stream Leads) ... the plan's Quality Improvement Program and Care Management framework to improve health outcomes. Team Leadership & Development: + Provide coaching and guidance to… more
- CVS Health (Hartford, CT)
- …licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health Plan / Payor or Hospital ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more