- CareFirst (Baltimore, MD)
- …**Experience:** 3 years progressive work experience in a risk adjustment, medical coding or health insurance operations within a health plan or ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare… more
- Highmark Health (Hartford, CT)
- …working with logical data structures **Preferred** + 3 - 5 years of experience in health insurance operations , benefits operations , or other related ... experience along with reading and interpreting code within the health insurance space. This is a remote...business needs and business rules to define and execute operations activities for high quality solutions to meet customer… more
- UPMC (Pittsburgh, PA)
- …health care / health insurance products (inclusive of health insurance operations , member communication and/or marketing materials development). + ... love to have you on our team. + Bachelor's degree or equivalent experience in health care / health insurance / marketing required. + 1 year experience with … more
- Highmark Health (Pittsburgh, PA)
- …firms or internal strategy groups of healthcare and related companies **Preferred** + Health Insurance operations and technology experience + Operational ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Pittsburgh, PA)
- …internal strategy groups of healthcare and related companies **Preferred** + Experience in Health Insurance operations and technology + Experience in ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Concord, NH)
- …strategic experience in lieu of Master's degree **Preferred** + Extensive knowledge of Health Insurance and/or Provider operations , especially related to ... resources. + Serve as subject matter expert to Strategic Operations staff and stakeholders on membership, growth and operational...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Highmark Health (Dover, DE)
- …strategic experience in lieu of Master's degree **Preferred** + Extensive knowledge of Health Insurance and/or Provider operations + Experience in ... resources. + Serve as subject matter expert to Strategic Operations staff and stakeholders on membership, growth and operational...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Point32Health (Canton, MA)
- …in personnel management and compliance related activities, legislative and regulatory activities, health insurance operations or legal research or equivalent ... **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving… more
- UPMC (Pittsburgh, PA)
- … practices meet applicable regulatory requirements and assist mitigating risks within our health insurance operations . The ideal candidate must be ... UPMC Health Plan has an exciting opportunity for a...of working from home and in office. The UPMC Insurance Services Divisions (ISD) Corporate Compliance and Ethics Program… more
- Queen's Health System (Kamuela, HI)
- …(4) years experience in any and/or combination of the following: physician's practice, health clinic operations , medical insurance , and physician practice ... business operations of the Ambulatory Clinics to ensure high-quality health care services and excellent customer service. * Works collaboratively with management… more