- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …processing expertise preferred but can be trained + Strong understanding of the healthcare industry and claims processing (preferred). About At Brighton Health ... maintain effective working relationships with client contacts. + Perform advanced claims processing, including professional, facility, and ancillary claims . +… more
- The Cigna Group (Bloomfield, CT)
- …analysis, matched case control studies etc. + Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and ... R + Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data) + Strong medical economics… more
- The Cigna Group (Denver, CO)
- …manage annual reconciliation for pilot programs; * Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and ... and healthcare financial modeling; * Hands on experience (medical claims data, clinical data, pharmacy data, and eligibility data,) including working with… more
- Somatus (Mclean, VA)
- …Analytics to create impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data. This position will work ... grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + 401(k)… more
- Humana (Columbus, OH)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + ... closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the...reside in Ohio + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of… more
- HUB International (San Francisco, CA)
- …verbal and written interactions. + High School / GED + 1-2 years of healthcare claims processing, or benefits administration preferred **KNOWLEDGE / SKILLS / ... Handles inbound calls on a queue system. + Assists clients and employees with various claims and benefit issues. + Respond to all phone calls and inquiries no later… more
- J&J Family of Companies (Horsham, PA)
- …over $2M annually. + Hands - on experience integrating and analyzing healthcare claims , electronic health records, lab results, specialty pharmacy, ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,… more
- HCA Healthcare (Augusta, GA)
- …in clinical risk management preferred + Broad-based working knowledge of healthcare delivery systems, risk management, claims administration, clinical knowledge ... you as a Risk Manager? At Doctors Hospital of Augusta, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team… more
- Robert Half Office Team (Little Rock, AR)
- …tasks and prioritize effectively in a fast-paced environment. * Familiarity with healthcare systems, claims processing, and benefit functions is highly ... offering an opportunity to make a meaningful impact in the healthcare industry. Responsibilities: * Provide outstanding customer service by addressing inquiries… more
- Insight Global (Downers Grove, IL)
- …leading cross-functional technical teams, and optimizing operational efficiency within healthcare or medical claims environments. Key Responsibilities: * ... and service level agreements (SLAs) * Familiarity with medical claims systems and healthcare technologies. * Proficiency...* Familiarity with medical claims systems and healthcare technologies. * Proficiency in Agile and Waterfall project… more