- The Cigna Group (Bloomfield, CT)
- …AND RESPONSIBILITIES:** + Support COB, MCR/State Cost Data, UC Plan, Hospital Transparency Analytics, Payer Transparency Analytics, NS&E updates, Local Market ... data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management. + Ability to take… more
- Evolent (Juneau, AK)
- …**What You'll Be Doing:** **Analyst, Client Analytics** Integrate and analyze authorizations, claims and/or enrollment data from multiple sources using SAS and SQL ... experience in an analytics role at a health plan, consulting firm, hospital system or other healthcare-related experience. + Experience developing dashboards in… more
- Robert Half Technology (New York, NY)
- …healthcare industry. * At least 2 years of experience with validation processes, claims adjudication, or hospital bill audits. * Strong knowledge of compliance ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Defense Health Agency (Lawton, OK)
- …for those candidates who are new to Federal service. **Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are ... covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within...the first year of a residency program in a hospital or an institution accredited for such training. **In… more
- Aflac (GA)
- …Way. Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known ... Modeling, and/or Experience Analysis/Management concepts; conducts fact gathering and claims analysis; reviews and analyzes statistical data, including morbidity,… more
- Defense Health Agency (Fort Knox, KY)
- …for those candidates who are new to Federal service. Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are ... covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within...the first year of a residency program in a hospital or an institution accredited for such training. **In… more
- LifePoint Health (Martinsville, VA)
- …full-time employees * Income-protection programs, such as life, accident, critical-injury insurance , short- and long-term disability, and identity theft coverage * ... control committees, and ensures timely reporting and documentation of workers' compensation claims and OSHA logs. *About our Health System* SOVAH Health -… more
- Virginia Mason Franciscan Health (Issaquah, WA)
- …tasks, such as scheduling appointments, maintaining medical records, and processing insurance claims + Providing excellent customer service to patients ... an accredited institution or validation of equivalent military training (ie Hospital Corpsman) that demonstrates attainment of the requisite job knowledge… more
- UTMB Health (Galveston, TX)
- …knowledge and understanding of medication and contract terminology;_** healthcare insurance collections, reconciliation, or analysis; supply chain management + ... and IS to ensure NDC's are current in the hospital software as well as the split billing software....+ Partners with IS and RCO departments to ensure claims are going out with the correct modifiers and… more
- The Cigna Group (Austin, TX)
- …& Network Underwriting Advisor. In this role, you will conducts hospital and professional provider contract underwriting/analysis, partnering with Contracting to ... of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + Strong analytical… more