- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating… more
- Norstella (Topeka, KS)
- …(PharmD) or Medicine (MD/DO) degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an ... **The Role:** In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world data (RWD)** sources,… more
- MVP Health Care (Schenectady, NY)
- … healthcare quality data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA ... opportunity for you if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:**...that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.… more
- Robert Half Accountemps (Forest Hills, NY)
- …* Prepare and process billing statements and invoices with precision. * Handle claims processing for Medicaid and healthcare -related billing. * Investigate and ... in billing or a related role. * Proficiency in healthcare billing, including Medicaid claims . * Strong understanding of billing functions and processes. *… more
- US Tech Solutions (IL)
- …health services and **outcomes research** and the analysis of large multi-dimensional ** healthcare claims and electronic health records** datasets. A minimum of ... 8 years is required with a Master's degree in any of the required fields. * Relevant pharmaceutical industry experience is required. * Ability to independently perform exploratory analysis of new datasets through pilot studies and feasibility assessments in… more
- HCA Healthcare (Asheville, NC)
- …in clinical risk management preferred. A broad-based working knowledge of healthcare delivery systems, risk management, claims administration and clinical ... Office to promote growth and unlock possibilities. At HCA Healthcare , we are committed to the care and improvement...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines ... as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Investigate and complete open or pended claims . Meet production and… more
- Somatus (Mclean, VA)
- …patient safety, NCQA HEDIS quality performance, etc. + Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to ... grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) +… more
- Health Care Service Corporation (Nashville, TN)
- …Job Qualifications:** + Experience with project management methodologies. + Experience of Healthcare industry - mainly pharmacy related claims . + Experience with ... Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders. This role… more
- Elevance Health (Norfolk, VA)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more