- Virtua Health (Mount Laurel, NJ)
- At Virtua Health , we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to ... or something in-between - we are your partner in health devoted to building a healthier community. If you...Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and… more
- Elevance Health (Los Angeles, CA)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …by law. **Federal Employee Program - FEP,** a proud member of the Elevance Health , Inc. family of companies, it is a powerful combination, and the foundation upon ... our members, greater value for our customers, and greater health for our communities. Join us and together we...+ Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations… more
- CommonSpirit Health (Steubenville, OH)
- …Insurance (Modified Claims Made) + Full Benefits Eligibility with CommonSpirit Health : Enjoy comprehensive health , dental, and vision, plus a retirement plan ... **Responsibilities** Join a dynamic team with Trinity Health System and make a difference in a...Expectation + Excellent support staff with a strong office manager and a mix of LPNs and MAs +… more
- Elevance Health (Woodbridge, NJ)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... project lead. + Uses analytic tools to track both health risks and compliance, as well as supporting the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- …and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims . In addition to being proficient in all basic customer service ... taking notes and speaking to customers. **Here's what Elevance Health offers:** + A career path with opportunity for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (West Des Moines, IA)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- East Boston Neighborhood Health Center (East Boston, MA)
- Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the ... greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether...you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential… more
- Elevance Health (Cincinnati, OH)
- …The **Business Architect Sr. - Provider Systems** will be part of Elevance Health 's National Operations Command Center (NOCC) which is responsible for E2E monitoring ... Provider selection logic; Provider setup configuration and roster loading/automation, claims system knowledge; external claim(EX) reviews/fixes; provider data updating… more