• Health Care Financial Analyst / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …successfully pass the assessment will be considered for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS...for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations… more
    The County of Los Angeles (10/06/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Little Rock, AR)
    health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical **Use your skills to make an… more
    Humana (11/07/25)
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  • Medical Director - Medicaid N. Central

    Humana (Indianapolis, IN)
    health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management **Use your skills to make an impact**… more
    Humana (10/25/25)
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  • Healthcare Coding Analyst

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …and related reimbursement. * Serve as a liaison to other divisions/departments ( Health Management, Service, Claims ) for coding policy and coding/payment issues. ... experience will be considered. * 3 years of relevant health plan or provider office medical coding/ claims ...relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting… more
    Blue Cross and Blue Shield of Minnesota (10/24/25)
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  • Benefits Coordinator

    US Tech Solutions (Carlisle, PA)
    …division, job, location, pay, union, hew hire, termination, status, leaves of absence/FMLA, health & wellness insurance claims , disability claims , and paid ... of pay rates, promotions, demotions, paid time off, Sunday pay, insurance claims , disability claims , etc. + Research, compile and provide data for the Employment… more
    US Tech Solutions (10/24/25)
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  • Business Architect Sr - Claims Systems

    Elevance Health (Norfolk, VA)
    …an accommodation is granted as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health 's National Operations Command ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...EdWard, OPAL, OBI, EDI. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (11/21/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
    Dignity Health (11/01/25)
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  • Claims Quality Specialist

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... care service organization. This role involves auditing claims , identifying errors, and implementing corrective actions to improve overall claims accuracy and… more
    Dignity Health (10/09/25)
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  • Claims and Litigations Manager

    UNC Health Care (Chapel Hill, NC)
    …develop into claims against healthcare providers and staff of UNC Health Care System insured by its commercial and self-insurance liability programs. This ... over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve....we serve. **Summary** : Reporting to the Director of Claims & Litigation, the Claims and Litigation… more
    UNC Health Care (11/20/25)
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  • Claims Operations Manager - Maryland…

    CVS Health (Annapolis, MD)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims more
    CVS Health (11/19/25)
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