- Humana (Nashville, TN)
- … healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations , including claim ingestion, processing, system ... This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a… more
- Prime Healthcare (Ontario, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/196005/vice-president-of-health-plan- operations -and- claims ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
- Molina Healthcare (Boise, ID)
- …equivalent combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- TEKsystems (Honolulu, HI)
- …We are seeking a detail-oriented and experienced professional with experience in healthcare claims processing and policy development. The ideal candidate will ... regulatory standards and improve operational efficiency. Key Responsibilities: + Analyze healthcare claims data to identify patterns, discrepancies, and… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare , you come first. HCA Healthcare has ... members over the course of three years. **Benefits** HCA Healthcare offers a total rewards package that supports the...difference. We are looking for a dedicated Senior Property Claims Supervisor like you to be a part of… more
- CVS Health (Tallahassee, FL)
- … insurance or a highly regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, ... timely release of features. **Stakeholder Engagement** + Collaborate with business units, operations , clinical teams, compliance, and IT to align on priorities and… more
- Elevance Health (Overland Park, KS)
- ** Claims & Encounters Operations Management -Process Expert Sr.** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering ... 8:00 am- 5:00 pm CST Monday thru Friday. The ** Claims & Encounters Operations Management -Process Expert...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- NTT DATA North America (St. Louis, MO)
- …methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a computer with ... have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our...an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a… more
- NTT DATA North America (Columbus, OH)
- …fee schedule **Job Requirements and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with Windows ... have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our...NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate** to work for our end client… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Leader, Claims Operations , to join #TeamMVP. If you have a passion for ... our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD**… more
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