- Banner Health (AZ)
- …operational areas as identified and documented in the Audit Plan within the health plan (such as claims , system analysts and referral coordinators). Prepares ... Pay Transparency Rules. Great careers are built at Banner Health . We're looking for the best and brightest to...conduct audits by comparing provider medical record documentation to claims submitted in the BPN claims system,… more
- R1 RCM (Austin, TX)
- …in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or Third-Party contracts, minimum of two years ... solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines… more
- Molina Healthcare (GA)
- …Management and works collaboratively with Corporate business owners to ensure the health plan processes for claims and encounters, aligns with regulatory ... **Job Description** **Job Summary** Molina Health Plan Operations jobs are responsible for the development and administration of our State Health Plan's… more
- CVS Health (Denver, CO)
- …big data. The combined data assets of CVS are massive: medical and pharmacy claims , health care records, commercial store, and transactional data for 100M+ ... 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
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** The ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior ... **Job Description** The Department of Population Health Science and Policy at the Icahn School...applications for a Postdoctoral Research Scientist with interest in health economics, health services research, and … more
- LA Care Health Plan (Los Angeles, CA)
- …stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other ... (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- TEKsystems (San Antonio, TX)
- …Skills - Computer skills (specifically in excel) Desired Qualifications: * Experience with Health Insurance claims , billing, or authorization * Two (2) years of ... promote all company policies and procedures. Skills Medical, Research, Healthcare, Claims , customer service Top Skills Details Medical, Research, Healthcare, … more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …to the equipment or services normally provided for the condition Examines clinical health records and claims folders to determine legal eligibility and medical ... and Sensory Aids Service (PSAS) at the Columbia VA Health Care System. The purpose of this position is...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Participation in the Coronavirus Disease… more
- LG Energy Solution (Holland, MI)
- …health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee work, ... Title: Occupational Health Nurse Reports to: Manager, Health ...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
- LG Energy Solution (Holland, MI)
- …health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee work, ... Title: Occupational Health Nurse, Specialist (Part Time or Full Time)...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more