- Humana (St. Paul, MN)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana values, and… more
- Humana (Raleigh, NC)
- …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
- Stanford University (Stanford, CA)
- …+ Interface with NCAA and/or outside secondary insurance for any student-athlete related health insurance claims . + Work collaboratively with the sports medicine ... must be able to facilitate and maintain relationships with DAPER, Vaden/Student Health and Stanford Hospital and Clinics (SHC) staff. High level communication skills… 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
- 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
- Baylor Scott & White Health (Dallas, TX)
- **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest ... our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401 (k) savings plan...and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist… 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