- Cognizant (Long Beach, CA)
- …an experienced Project Manager or Project Coordinator to lead and support healthcare claims submission and processing initiatives. This role requires strong ... environment. **Roles & Responsibilities** + Oversee the full lifecycle of healthcare claims submission and processing projects, ensuring delivery within… more
- Medtronic (Mounds View, MN)
- …and study protocol design ** ** **BASIC QUALIFICATIONS:** + Experience working with healthcare claims and/or EHR data + Proficiency programming using statistical ... can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down… more
- Molina Healthcare (Dayton, OH)
- …trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Humana (Cheyenne, WY)
- … claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims utilizing revenue codes, CPT/HCPCS, ICD-10 diagnosis codes, DRG, ... claim datasets and conducting trend analysis + Deep understanding of healthcare claims taxonomy (service categories, such as LTSS) + Advanced knowledge of… more
- Evolent (Salem, OR)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care, or… more
- ICF (Baltimore, MD)
- …Skills/Experience:** + Advanced degree in a related field. + Demonstrated knowledge of healthcare claims data, including Medicare and Medicaid. + Experience with ... and investigation. This role requires a deep understanding of healthcare data systems, Medicare and Medicaid claims ,...of healthcare data systems, Medicare and Medicaid claims , and the government's healthcare fraud, waste,… more
- New York eHealth Collaborative (New York, NY)
- …to manage large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ... with the New York State Department of Health to improve healthcare by collaboratively leading, connecting, and integrating health information exchange across… more
- WellSpan Health (York, PA)
- … Healthcare operation experience, clinical variation and waste reduction experience, healthcare claims and clinical data analytics experience. Required + ... and alignment with broader organizational strategies. Deep expertise in performing claims and clinical data analytics is a requirement. Fluency in Arcadia… more
- Humana (Jackson, MS)
- …+ Knowledge of healthcare provider contract negotiations. + Experience in healthcare /medical claims . + Experience with TRICARE policies and/or the military ... (MTF) and other Government staff, including senior military leaders, and civilian healthcare providers and facilities. The primary focus of the Senior TCL is… more
- Evolent (Hagatna, GU)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care,… more