- System One (Baltimore, MD)
- …Management Professional (PMP) certification or equivalent experience. + Knowledge of healthcare operations, claims processing, provider networks, and regulatory ... Job Title: Healthcare Project Manager Location: Once a month Onsite...Manager works cross-functionally with departments such as Network Management, Claims Operations, Quality, and Member Services to ensure that… more
- Commerce Bank (Kansas City, MO)
- …required + 2+ years customer service experience required + 1+ year healthcare insurance claims processing experience preferred + Multi-state provider experience ... (Amount based on relevant experience, skills, and competencies.) The Commerce Healthcare RemitConnect(R) team is looking for an Enrollments Specialist who will… more
- Molina Healthcare (Syracuse, NY)
- …Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- AdventHealth (Maitland, FL)
- …shared savings, bundled payments, pay-for-performance, and capitation Working knowledge of healthcare claims for all provider types Managed Care, Patient ... using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new… more
- The County of Los Angeles (Los Angeles, CA)
- … healthcare law. Experience may include laws and regulations relating to healthcare providers; False Claims Act; Anti -Kickback Statute; consent and ... 04 Describe in detail your experience in the practice of healthcare law pertaining to False Claims Act. If you do not have experience, please indicate "Not… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims are… more
- Catholic Health Services (Melville, NY)
- …pertinent industry experience. Skills: + 5+ years of claim experience, preferably healthcare liability or other professional liability claims . + Strong ... Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named...was named Long Island's Top Workplace! Job Details The Claims Analyst is responsible for monitoring, analyzing, and reporting… more
- Cognizant (Lincoln, NE)
- …you will make an impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a valued member of ... **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment...help you stand out** + Certified Facets Professional + Healthcare Payer Professional Certification + Experience driving Agile practices… more
- Huron Consulting Group (Chicago, IL)
- …US Work Authorization required **PREFERRED QUALIFICATIONS** + Experience with comprehensive healthcare data sets ( claims , financial performance, clinical, and ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Huron Consulting Group (Chicago, IL)
- …Work Authorization required **PREFERRED QUALIFICATIONS:** + Experience with comprehensive healthcare data sets ( claims , payroll, financial performance, clinical, ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more