- CVS Health (Bloomington, MN)
- …configuration data, clinical protocols, and medical notification documents within CVS Health 's Medical Claims and Prior Authorization platform (Novologix). The ... 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
- Molina Healthcare (Louisville, KY)
- …encounter pend and rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as ... statuses and risks, and facilitating calls with cross-functional teams + Claims processing, provider contacting, health data analysis and reporting,… more
- Ochsner Health (New Orleans, LA)
- …technologies or methodologies inclusive of those that demonstrate expertise in Health Insurance Claims and/or Electronic Medical Records. Knowledge, Skills, ... and that matters. Come make a difference at Ochsner Health and discover your future today!** The Vice President...on the status of data projects and the overall health of the data ecosystem. The above statements describe… more
- CVS Health (Franklin, TN)
- …support + Familiarity with Final Expense, A&H, Medicare Supplement policy processing, or health insurance claims . + Experience working in a production or ... 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
- University of Michigan (Ann Arbor, MI)
- …other team members, perform statistical analyses and develop data visualizations for large health insurance claims databases based upon the design of the ... SQL merges to clean, manage, and merge analytic datasets for large health insurance claims databases based upon the design of the project + Conduct advanced… more
- CVS Health (Frankfort, KY)
- …client stakeholders. + HEDIS & Quality Data Analysis: + Analyze large datasets from health plans (eg, claims , encounters, clinical data) to identify HEDIS gaps ... STAR ratings and the associated quality measures. + Strong understanding of health plan operational data, including claims processing, clinical data exchange… more
- AdventHealth (Maitland, FL)
- …bundled payments, pay-for-performance, and capitation Working knowledge of population health , utilization measurement, and claims analytics Managed Care, ... Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in understanding professional and facility … more
- Arnot Health (Elmira, NY)
- …4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered ... Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of Arnot Health benefit plans, retirement plans, and leave programs to provide general… more
- AdventHealth (Altamonte Springs, FL)
- …analysis issues that may not be completely defined Beginner to intermediate experience with health care claims and related data and analysis (at least 1-2 years ... Day One Student Loan Repayment Program Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Highmark Health (Pittsburgh, PA)
- …a plus (eg, RBE models), especially CM delegation + Familiarity with major health care data sources ( claims , clinical) and advanced analytics **Preferred:** + ... leading, optimizing, and transforming all operational aspects of member facing health engagement team activities through case management, disease management, and… more