- Highmark Health (Pittsburgh, PA)
- …unit, may be responsible for one or more of the following: + Perform research on projects and manage and lead projects to successfully meet business objectives. May ... needs to develop new and innovative Pharmacy products, perform appropriate research /analyses, and evaluate feasibility of the administration and implementation of… more
- V2X (Reston, VA)
- …+ Develops and maintains project EAC forecast and responsible for variance analysis research and commentary. + Updates the forecasts into the forecasting system. + ... members to consolidate budget and forecast financial performance. + Identify and research key variances. + Work with and secure highly sensitive and confidential… more
- University of Utah Health (Salt Lake City, UT)
- …exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, ... 1 Trauma Center and is nationally ranked and recognized for our academic research , quality standards and overall patient experience. Our five hospitals and eleven… more
- UNC Health Care (Morrisville, NC)
- …Managers and the Chief Privacy Officer through the performance of research and preparation of other supporting materials. **Other Information** Other information: ... Experience Requirements:** * Three (3) years of experience in healthcare compliance or relevant legal experience or education. *...If Associate's degree, seven (7) years of experience in healthcare compliance. * If high school diploma, eleven (11)… more
- CVS Health (Miami, FL)
- …This role is ideal for someone with excellent communication skills, knowledge of healthcare benefits, and a passion for serving their community. **Primary Job Duties ... & Responsibilities** + ** Research and Resolve:** Handle member inquiries and escalations related...Qualifications** + 1-2 years of experience in health insurance, healthcare services, or client/account management. + Familiarity with managed… more
- Centene Corporation (Jefferson City, MO)
- …clinical outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data + Lead the planning and ... reporting tools to rapidly deliver data-driven insights and recommendations + Research key business problems and proactively identify opportunities for cost and… more
- CareFirst (Baltimore, MD)
- …used in the development of reimbursement policy and workflows associated with healthcare providers' reimbursement fee levels. Research Federal, state and local ... of fee schedules, payment policies, strategies, and workflows associated with healthcare providers reimbursement levels. May work with the various teams to… more
- CareFirst (Baltimore, MD)
- …policy, strategies, cost of care impacts and workflows associated with healthcare providers' reimbursement fee levels. The incumbent will develop recommendations and ... competitive analyses to include industry, regional, and internal benchmarks as needed. Research Federal, state and local reimbursement trends and mandates to prepare… more
- Robert Half Accountemps (Eden Prairie, MN)
- …and consistency in the digitization of prior authorization criteria within a healthcare application. The Auditor is responsible for validating automated data inputs, ... ensure content is correctly placed in the appropriate sections of a healthcare management system. + Verify and correct AI-generated classifications of approval… more
- Waystar (Louisville, KY)
- …as well as gain first-hand knowledge of a niche within the software and healthcare industry. Interns will assist the company with a variety of tasks including, but ... + Fulfill tasks set out by manager from your respective department + Perform in-depth research and analysis as needed + Assist with reports and tasks + Must be able… more