• Physician Coding Specialist II - Remote

    Trinity Health (Columbus, OH)
    …codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position ... Colleague Resource Groups. **Ministry/Facility Information:** Mount Carmel, a member of Trinity Health , has been a transforming healing presence in Central Ohio for… more
    Trinity Health (09/23/25)
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  • Quality Analyst - Jr SDET

    Baylor Scott & White Health (Temple, TX)
    …of SQL and Python scripting . Knowledge of HealthEdge/HealthRules Payor, or other claims processing systems . Knowledge of Selenium/Cypress tools with Java /Java ... **JOB SUMMARY** **Hybrid Position - Temple/Austin** **BSW Health Plan** The Systems Analyst II figures out...manage multiple, overlapping deadlines **BENEFITS** + Immediate eligibility for health and welfare benefits + 401(k) savings plan with… more
    Baylor Scott & White Health (09/22/25)
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  • Enhanced Scheduler PRN

    Intermountain Health (Logan, UT)
    …in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts. **Physical Requirements** + ... multiple tasks or priorities. + Demonstrated working knowledge of word processing , spreadsheet, email, and calendaring programs. + Demonstrated typing proficiency. +… more
    Intermountain Health (09/19/25)
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  • Senior Analyst, Special Investigation Unit

    CVS Health (Hartford, CT)
    …Prior experience in a SIU or regulatory response role - Knowledge of claims processing , provider contracting, and credentialing workflows - Project management or ... 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
    CVS Health (09/13/25)
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  • Pharmacy Technician, Participant Services

    CVS Health (Phoenix, AZ)
    …timely resolution of requests/inquiries, which include: Pharmacy, Shipping, Customer Care, Finance, Claims Processing , and Eligibility. This position may work in ... 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
    CVS Health (09/11/25)
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  • Investigator

    Highmark Health (Montgomery, AL)
    …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing,… more
    Highmark Health (09/10/25)
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  • At Home Advisor-Homecare-Neptune, NJ-PT (Weekends)

    Hackensack Meridian Health (Neptune City, NJ)
    Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to ... healthcare and serve as a leader of positive change. At Hackensack Meridian Health at Home, we recognize our full- and part-time benefit eligible team members… more
    Hackensack Meridian Health (09/05/25)
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  • Consumer Relations Spec

    Covenant Health Inc. (Sevierville, TN)
    …Logs to ensure timely corrections are being made. + Manages Peninsula Outpatient Delayed Claims . + Reviews and enters Behavioral Health Safety Net lab charges ... , has set a new standard for effective, innovative and caring mental health services in East Tennessee. With a combined total of more than 75… more
    Covenant Health Inc. (08/19/25)
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  • Lead Data Scientist - AI

    CVS Health (New York, NY)
    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 ...of mathematical analysis methods, including predictive analytics, natural language processing , reinforcement learning and causal inference with in-depth specialization… more
    CVS Health (08/08/25)
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  • Onsite Pharmacy Auditor (based in Southern…

    Prime Therapeutics (San Diego, CA)
    …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
    Prime Therapeutics (09/26/25)
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