- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …Kafka, Kinesis, Spark Streaming) is a plus. * Ability to design and implement insurance data models across policy, claims , customer, and finance domains. * ... a motivated Data Engineer to support the modernization of our our clients' insurance agency and policy admin data platforms. This role offers the opportunity to… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …compliance and policy equity for alldomestic employees. + Monitor disability and leave claims from the beginning tothe end by ensuring that the appropriate actions ... service goals are being achieved. + Ensure compliance with company's claims management bestpractices, performance standards, policies and procedures while focusing… more
- CareFirst (Baltimore, MD)
- …ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience. **Preferred ... capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting… more
- AbbVie (Mettawa, IL)
- …is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to ... analytical methods, and technical programming skills to analyze clinical, survey, claims , and electronic medical record databases. Role supports the department as… more
- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- …long-term relationships with key client stakeholders, including executive leadership, claims operations, finance, compliance, and clinical teams. * Lead client ... long-term relationships with key client stakeholders, including executive leadership, claims operations, finance, compliance, and clinical teams. Lead client… more
- Prime Therapeutics (Tallahassee, FL)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …the corporate philosophy: "Otsuka people creating new products for better health worldwide." We are committed to researching, developing, manufacturing, and ... treatments for diseases and nutraceutical products to maintain everyday health . Our pharmaceutical efforts emphasize developing and commercializing therapies in… more
- AmeriHealth Caritas (Detroit, MI)
- …provider satisfaction, streamline processes, and enhance electronic strategies for claims and auto-adjudication. **Work Arrangement:** + Hybrid -This role requires ... all provider contracts. + Implement electronic strategies to enhance claims submission and auto-adjudication processes. **Provider Recruitment, Retention, &… more
- Otsuka America Pharmaceutical Inc. (Pierre, SD)
- …degree (PhD, PharmD, MD, MPH, or equivalent) in a relevant scientific or health -related field. + 10+ years of experience in pharmaceutical, biotech, or healthcare ... rare diseases. + Familiarity with innovative evidence platforms, digital health technologies, and advanced analytics. **Competencies** **Accountability for Results… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... to meet unmet medical needs and nutraceutical products for the maintenance of everyday health . As a Director of Translational Medicine (TM), you will be a champion… more