- Highmark Health (Pittsburgh, PA)
- …(Health Care Related) **EXPERIENCE** **Minimum** + 5-7 years of experience in healthcare , and/or healthcare insurance , consulting, administration or related ... Highmark Inc. **Job Description :** **JOB SUMMARY** This job works closely with Provider Transformation leadership and key matrix partners to execute on the strategy… more
- Elevance Health (Atlanta, GA)
- …or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would ... ** Provider Contract Cost of Care Consultant - VBC** **Location**...provide an equivalent background **Preferred Skills, Capabilities, and Experiences:** +… more
- Texas Health Resources (Arlington, TX)
- …Employee: Benefits include 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, ... 1 Year Relevant Customer Service experience required. * 2 Years Professional office/ healthcare experience preferred. Licenses and Certifications * CHAA - Certified … more
- Highmark Health (Charleston, WV)
- …and risk revenue, primary care and the ambulatory care environment, healthcare insurance industry government programs, healthcare administration ... Consultant is responsible for collaborative work with other functions in the provider area, data analytics, and key internal/external stake holders to provide… more
- The Cigna Group (Orlando, FL)
- …Office preferred + Demonstrated communication and negotiation skills + Understanding of medical insurance products and associated provider issues + Up to 25% ... must geographically reside in the Mid FL Market The Provider Relations Lead Analyst is responsible for overseeing the...monitor Daily Activities using Management Operating System (MOS) + Provide feedback to managers on issues and concerns going… more
- AmeriHealth Caritas (Detroit, MI)
- …role ensures the provider network meets regulatory standards and supports the healthcare needs of plan members. The manager also leads initiatives to improve ... healthcare setting. + 3 to 5 years of provider contracting and reimbursement experience. + 3 or more...care. **Licensure:** + Valid driver's license and current auto insurance **Skills & Abilities:** + Strong organizational, analytical, and… more
- Evolent (Helena, MT)
- …WEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and practice ... transformation efforts in **California** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Robert Half Finance & Accounting (Odenton, MD)
- …(EOB's) and Correspondence to identify zero pays and underpayments. * Coordinate with healthcare insurance companies on outstanding medical claims and appeals. * ... accurate patient records, collecting outstanding payments, and following up with insurance companies. Small private-clinic healthcare experience required for… more
- The Cigna Group (Jersey City, NJ)
- …experience in lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/ Provider /Ancillary** **group ... into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an integral member...also offer 401(k) with company match, company paid life insurance , tuition reimbursement, a minimum of 18 days of… more
- Cardinal Health (Trenton, NJ)
- …services for reimbursement to the medical facility. This role works directly with insurance companies, healthcare providers, and patients to ensure claims are ... team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The… more