- WellSense (MA)
- Position Type Full-Time/Regular It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of ... providing health insurance that works for our members, no matter...provider and internal Plan departments such as Provider Enrollment, Claims , Audit, Marketing, Customer Care and Care Management. **Our… more
- CenterWell (Boston, MA)
- …first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve ... variable factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex… more
- Centene Corporation (Raleigh, NC)
- …and other providers in the context of regular reviews of utilization and/or health care quality. Reviews claims involving complex, controversial, or unusual or ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Stanford University (Stanford, CA)
- …Vice President, Total Rewards (AVP, Total Rewards) oversees a team of specialists and consultants and leads strategy and operations for university-wide staff ... stakeholders.** **This position is hybrid preferred (on-site two days per week), however, remote candidates willing to travel and work in person at least one week… more
- OhioHealth (Columbus, OH)
- …have in-depth knowledge of healthcare revenue cycle operations-including billing, coding, claims , and reimbursement-paired with expertise in health informatics ... **We are more than a health system. We are a belief system.** We...in our communities. **Job Description Summary:** Revenue Cycle Optimization Specialists serve as key liaisons between end users and… more
- Molina Healthcare (Seattle, WA)
- **_ Remote and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Humana (Honolulu, HI)
- … first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse ... teams focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be passionate about contributing to an… more
- Manulife (NH)
- **This is a remote role open to any location in continental US** Key to John Hancock's success is maintaining the core competency of Underwriting expertise which ... and collaborating with cross-functional teams comprised of actuaries, operations specialists , data scientists, and developers. The successful candidate will… more
- Wabtec Corporation (Chicago, IL)
- …materials are always available for locomotive repairs and maintenance. Our Materials Specialists are trained subject matter experts in our parts and logistics ... is required each day as this is not a remote work position. The currently planned schedule that this...shifts, increasing the opportunity for overtime earnings. Our materials specialists work inside locomotive diesel repair shops located on… more
- The Hartford (Hartford, CT)
- …From Losses using Property Claims database; develop/publish regular report on property claims for use by Property Specialists and Account Engineers + Provide ... and other trending subjects. This role will have a Remote work arrangement, with the expectation of coming into...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more