• Lead Managed Care Contract Manager

    Baystate Health (Springfield, MA)
    …requirements. Data Analysis: Experience in data analysis and the ability to interpret healthcare utilization data, claims data, and financial reports is often ... care contracting. This includes negotiating, analyzing, and managing contracts with healthcare providers, insurance companies, or other healthcare organizations.… more
    Baystate Health (08/30/25)
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  • Supv Accts Rec FollowUp Denial / PA Third Party…

    Hartford HealthCare (Farmington, CT)
    …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and ... Work where*every moment*matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every… more
    Hartford HealthCare (10/07/25)
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  • Patient Accounts Clerk - Dept. of Public Health

    City and County of San Francisco (San Francisco, CA)
    …Eighteen (18) months (equivalent to 3,000 hours) of experience billing, claims processing and/or collecting healthcare service reimbursements or medical ... Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of...Essential duties include: + Reviews and edits bills and claims to make sure the information is accurate and… more
    City and County of San Francisco (09/28/25)
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  • Senior Contracting Compliance Analyst…

    Mount Sinai Health System (New York, NY)
    …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
    Mount Sinai Health System (10/08/25)
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  • Data Architect (Azure & Databricks)

    Insight Global (Newtown, PA)
    …and maintaining data models (logical, physical and conceptual) that support healthcare -specific requirements (Clinical, Claims , Member, Provider, EHR etc.). ... and maintaining data models (logical, physical and conceptual) that support healthcare -specific requirements (Clinical, Claims , Member, Provider, EHR etc.).… more
    Insight Global (10/11/25)
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  • Manager, Claims Modernization, Reporting…

    Healthfirst (NY)
    …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... work experience. **Preferred Qualifications:** + Experience working within a Healthcare industry (such as commercial insurance plans, hospital, managed long-term… more
    Healthfirst (08/14/25)
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  • Claims PA1

    Capgemini (El Paso, TX)
    …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being… more
    Capgemini (08/13/25)
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  • Claims PA1

    Capgemini (El Paso, TX)
    …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being… more
    Capgemini (07/24/25)
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  • Senior Analytic Consultant

    Norstella (Jefferson City, MO)
    …relational databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *Lead the delivery of complex RWD… more
    Norstella (08/22/25)
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  • Customer Solutions and Claims Specialist

    Nestle (Holbrook, NY)
    …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... a competitive total rewards package, which includes a 401k with company match, healthcare coverage and a broad range of other benefits. Incentives and/or benefit… more
    Nestle (10/10/25)
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