- 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
- WMCHealth (Valhalla, NY)
- …Features of the Class: Under general supervision, an Insurance Clerk processes insurance claims to third party health carriers for billing of medical services ... Responsibilities include initial billing, investigation and reconciliation of problem claims , maintaining automated accounts, filing, and other clerical tasks.… more
- LA Care Health Plan (Los Angeles, CA)
- …to provide 24/7 support for Production applications across LA Care's Claims /EDI, Member, Provider, Health Services, Customer Solutions Business functions. ... (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We… more
- UGI Corporation (Richmond, VA)
- …employee lives and/or works. Nearest Major Market:Richmond Job Segment: Behavioral Health , Substance Abuse, Compliance, Safety, Claims , Healthcare, Legal, ... to reduce and prevent occupational injuries, vehicle incidents and liability claims . The Field Safety Manager conducts audits, provides technical and professional… more
- Spectrum Billing Solutions (Skokie, IL)
- …Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist #RCMAnalyst | ... credentialing and contract applications with third-party carriers and government health plans. + Review provider credentialing and contracting information to… more