- Oracle (Santa Fe, NM)
- …and predictive analytics. * Apply generative AI to synthesize insights from multi-modal healthcare data (eg, EHRs, imaging, claims , and demographics) to enhance ... Oracle Health Data Intelligence (HDI) is leading the charge in transforming healthcare with innovative data and AI solutions. We're seeking a highly skilled… more
- Elevance Health (Norfolk, VA)
- …or related field and a minimum of 5 years of experience in a healthcare organization supporting operations, provider or claims ; or any combination of education ... Operations Key Performance Indicators. Participates in pre and post implementation claims audit reviews. + Provides subject matter expertise support for production… more
- Health Care Service Corporation (Chicago, IL)
- …(eg, agentic AI) is strongly preferred. * Previous experience working with insurance claims systems and/or healthcare experience * Experience with Iterative / ... drive revenue growth, improve our operational and member-facing processes, and affect how healthcare is delivered to our 17 million members. An ideal candidate is… more
- The Cigna Group (Raleigh, NC)
- …standards and simplification goals **Qualifications** : + 5 years of experience with healthcare data domains (eg, medical claims , pharmacy claims , ... **Profile Summary:** Cigna Healthcare 's Individual & Family Plans (IFP) business is...vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to… more
- Molina Healthcare (NE)
- …Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, ... likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, valuable ... in advancing our culture of safety, providing leadership and direction to Emory Healthcare 's Risk Management team. + Reporting directly to the Vice President Risk… more
- HCA Healthcare (Denver, CO)
- …hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...of Trustees. Include the patient's story of harm. Risk Management/ Claims Activities (if not otherwise assigned) . Work with… more
- HCA Healthcare (Salt Lake City, UT)
- …to relocate if not already in the Layton UT area. Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. ... Submit your application for the opportunity below:Director of RevenueMountainStar Healthcare **Benefits** MountainStar Healthcare offers a total rewards… more
- HCA Healthcare (Nashville, TN)
- …with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (Omaha, NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more