- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …live up to our mission of creating new products for better health worldwide in two important therapeutic categories: neuroscience and nephrology. **Disclaimer** This ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The County of Los Angeles (Los Angeles, CA)
- …or department billing sections and agencies being billed to resolve discrepancies in processing claims . Develops, reviews and analyzes reports to ensure that ... Angeles County, CA Job Type Full time Job Number b1190F-EA Department MENTAL HEALTH Opening Date 09/08/2025 Closing Date Continuous + Description + Benefits +… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Senior Technical Product Owner is responsible for defining and delivering on the roadmap ... product vision, roadmap, and backlog for the HEDIS data processing pipeline. + Develop and maintain the support and...flows that ingest, clean, validate, and transform clinical and claims data for HEDIS measurement. + Ensure proper integration… more
- Robert Half Office Team (Plymouth Meeting, PA)
- …In this role, you will play a vital part in processing claims related to dental, behavioral health , childcare, education, and physical wellbeing. This ... opportunity to grow within the organization. Responsibilities: * Accurately process claims for dental, behavioral health , childcare, education, and physical… more
- ADM (Erlanger, KY)
- …bring strong food science expertise, practical experience in product development and processing , and a passion for turning ideas into shelf-ready products. This role ... + Characterize ingredient functionality and proactively troubleshoot formulation or processing challenges. + Support ADM's innovation pipeline by identifying trends,… more
- Molina Healthcare (Tacoma, WA)
- …contracts, pricing configuration, claim adjudication or reimbursement processes + Experience processing or reviewing facility claims + Prior professional ... pricing methodologies. Works closely with IT, the pricing software vendor, operations, health plan representatives, and other business teams involved in claim … more
- City of Boynton Beach (Boynton Beach, FL)
- …and/or parties as necessary to complete department records/files. Assists with claims ; requests information from City departments; and submits to defense and ... billing statements; maintains records of legal expenses and coordinates payment processing with appropriate departments. Conducts and maintains annual motor vehicle… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …provider offices as needed. In addition, the Risk Adjustment Data Processor will review claims data to determine if follow-up is needed, and will provide training to ... to Hingham, MA Your Day to Day + Perform processing tasks such as: sorting incoming mail, retrieving medical...investigate, and resolve issues related to incoming correspondence; review claims data as necessary to identify from where the… more
- Commonwealth Care Alliance (Boston, MA)
- …organization * Experience using Power BI, Tableau, and Looker Experience with clinical claims and health record data * Experience building data pipelines in ... Data Science Manager will focus on the data extraction and processing , analytics, feature engineering/selection, modeling and evaluation, results delivery, and model… more
- Waystar (Louisville, KY)
- …**timeliness** . + Build data infrastructure to support real-time and batch processing use cases for customer-facing products. + Establish and enforce **data quality ... indexing, and clustering strategies to improve query performance and reduce processing time. + Develop and maintain secure de-dentification and data-sharing… more