- CVS Health (Columbus, OH)
- …detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is a full time role and is ideal for a data ... analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory &… more
- Guidehouse (Chicago, IL)
- …Power BI, Tableau, TIBCO Spotfire or others + Strong understanding of healthcare claims (facility or payer) data and/or HIT applications including those used to ... manage patient, financial, clinical, claims and/or operational data, is a strong advantage +...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Morley (Madison, WI)
- …+ Medical and prescription coverage, including free annual physicals + Dental and vision insurance + Paid time off + Associate wellness program (earn a reward for ... 401(k) with match + Flexible spending account + Life insurance + Short- and long-term disability insurance ...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Health Care Service Corporation (Richardson, TX)
- …*Demonstrated proficiency in provider reimbursement methods. *Working knowledge of claims processing systems. *Effective organizational and planning skills. *Ability ... savings plan, pension plan, paid time off, paid parental leave, disability insurance , supplemental life insurance , employee assistance program, paid holidays,… more
- Health Care Service Corporation (Chicago, IL)
- …+ Extensive knowledge of provider and facility contracting, products, and claims /processing systems. + Negotiation skills + Relationship building skills + Knowledge ... savings plan, pension plan, paid time off, paid parental leave, disability insurance , supplemental life insurance , employee assistance program, paid holidays,… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- AON (St. Peter, MN)
- …toward achieving both Aon Impact Model and client goals + Day to day insurance administration and assistance with underwriting and claims functions of a range ... enabling you to progress from a graduate, to Associate Consultant , then Consultant and beyond!. How this...Impact Model and client goals + Day to day insurance administration and assistance with underwriting and claims… more
- Michaels (Carpenter, IA)
- …not less than quarterly) claim reviews with third-party administrator (TPA) and broker claims control consultant . + Has oversight responsibility for working with ... communicating with carriers in putting them on notice when claims meet recording requirements from the insurance ...when claims meet recording requirements from the insurance policy. + Maintain prompt claim reporting procedures and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- South County Hospital (Wakefield, RI)
- …and testimony between staff and legal counsel. + Serve as liaison with insurance carriers, claims representatives, and legal counsel. + Manage service of ... new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related issues… more