- Molina Healthcare (NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Scottsdale, AZ)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …experience in Revenue Cycle Operations + Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common ... our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Billing Analyst** is… more
- DATAMAXIS (IL)
- …intelligence solutions using SAP BusinessObjects and SQL. This role supports Medicaid/CHIP claims and other healthcare data systems, ensuring accurate reporting ... Objects server administrator * Familiarity with Medicaid, Medicare, or healthcare -related applications. * Experience with Tableau or BusinessObjects version… more
- HCA Healthcare (Nashville, TN)
- …you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon, offers a total rewards package ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...responses on imaging storage system. + Analyzes daily released claims to determine payer acceptance percentages and rejection rates,… more
- Prime Healthcare (Aurora, IL)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare...issues. This attorney must be experienced with wrongful termination claims , wage and hour class actions, PAGA claims… more
- Molina Healthcare (Caldwell, ID)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... configuration practices and outcomes **KNOWLEDGE/SKILLS/ABILITIES** + Lead audits of claims and QNXT configuration to ensure accuracy, completeness, and compliance… more
- Molina Healthcare (Louisville, KY)
- …rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate ... for Monthly Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry… more
- Molina Healthcare (Macon, GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- City of New York (New York, NY)
- …veterans' rights. General Responsibilities: - Claim Assistance: Helping veterans file initial claims for disability, education, healthcare , and other benefits. - ... culture. DVS' Veterans Support Services Attorney will assist the Claims Team and the Legal Unit. Legal Assistance with... Team and the Legal Unit. Legal Assistance with Claims Team The Veterans Support Services Attorney will support… more