- Waystar (Atlanta, GA)
- …client assignments, requiring independent design work and analysis, in depth RCM and product knowledge. + Design and execute on work/data analysis + Drive next steps ... Develop detailed technical and process-related documentation related to environment-specific product design and configuration + Classify problems as system,… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... authorizations from receipt to notification into QNXT and/or TruCare for all product lines. + Approves authorizations when the authorization meets the criteria… more
- AbbVie (Mettawa, IL)
- …customer(s) across multiple channels of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires ... pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ recommendations from… more
- Waystar (Louisville, KY)
- …your sales career with Waystar. This role will work closely with the Sales Manager to implement strategic marketing and sales execution plans in order to achieve ... at all appropriate levels of accounts + Communicate new product , service, initiative, and relevant information to new accounts...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- General Dynamics Information Technology (Fairfax, VA)
- …be part of a technically diverse team supporting Centers for Medicare and Medicaid Services (CMS) via the Integrated Data Repository (IDR) contract. The Integrated ... cloud-native AWS environment. You'll work closely with DevSecOps, Data Engineering, and Product teams to ensure high availability, security, and performance of our… more
- Apex Health Solutions (Houston, TX)
- …care experience Strong knowledge of health insurance industry with all product lines (Medicare, Medicaid , Commercial, ASO, DSNP, etc ) Extensive knowledge ... Job Title: Claims Processor Department: Operations Supervisor: Manager , Claims Operations Summary: Position is responsible for the timely and accurate claims… more
- Healthfirst (NY)
- …Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team. + Communicates and ... coordinates any New York Medicaid Choice (NYMC) to internal departments and ensures that...healthcare environment (such as managed care organization, commercial health insurance plan or managed long-term care plan) + Knowledge… more