- Humana (Bismarck, ND)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred… more
- The County of Los Angeles (Los Angeles, CA)
- …our patients and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided ... HEALTH CARE FINANCIAL ANALYST/COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL… more
- 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
- 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
- Brighton Health Plan Solutions, LLC (NC)
- About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The expectations include ... and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements and changes… more
- Magellan Health Services (Albuquerque, NM)
- … Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... across multiple operational areas. + Investigates and facilitates the resolution of claims issues, including incorrectly paid claims , by working with multiple… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist, where you'll play a key role in...Flexible Schedules + Competitive Pay with Shift Differentials + Health , Dental, Vision, and Life Insurance + Company-Paid Disability… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …ideal candidate will have worked in-depth in healthcare payer domain or Health Plan Administration (Benefits & Claims Administration, Vendor integration, ... Sr. Business Analyst/Product Specialist in the healthcare payer domain of Health Plan administration of self-funded clients who excels in client interactions,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan Administration (Benefits & Claims Administration, Vendor ... Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client interactions, and… more
- Independent Health (Buffalo, NY)
- …receivables, collection, payables or a business-to-business account servicing type role required; health care and medical claims knowledge preferred. + Ability ... procedures on government program accounts such as Advance Premium Tax Credits, Child Health Plus, Medicaid and SHOP. They will support internal service centers on… more