- CVS Health (Hartford, CT)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or… more
- CVS Health (Springfield, IL)
- …analysis to estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers and identifies ... opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement. + Assesses impacts of new risk-sharing… more
- Blue KC (Kansas City, MO)
- …of our offerings include:** **Highly competitive total rewards package, including comprehensive medical , dental and vision benefits as well as a 401(k) plan that ... Serves as a Finance subject matter expert for the claims , billing and payment systems used by the company....understanding of company's core operating systems used to process claims , capitation, premiums and other billing arrangements along with… more
- CVS Health (Hartford, CT)
- …new business quotes, including, but not limited to: competitor plan designs, claim history, client census files, current and renewal rates. Also research prospective ... years RFP project management and/or sales support experience required. + Previous medical insurance industry experience preferred. + Must be organized and efficient,… more
- Quality Technology Services, LLC (Suwanee, GA)
- …role is also eligible for a competitive benefits package that includes: medical , dental, vision, life, and disability insurance; 401(k) retirement plan; flexible ... national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by… more
- CVS Health (Hartford, CT)
- …day. **Position Summary** This early in career role will support the Claim , Plan Sponsor Services and Payment Integrity COEs. Responsibilities will include FP&A ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Quality Technology Services, LLC (Overland Park, KS)
- …role is also eligible for a competitive benefits package that includes: medical , dental, vision, life, and disability insurance; 401(k) retirement plan; flexible ... national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by… more
- Henry Ford Health System (Troy, MI)
- …Responsible for handling of daily pharmacy duties such as drug claim adjudication issues, prior authorization, and pharmacy benefit inquiries from members/patients, ... Pharmacy Technician licensure preferred. Strong understanding and knowledge of medical /clinical and pharmacy terminology. Working knowledge of personal computers,… more
- BrightSpring Health Services (Grand Rapids, MI)
- …and ensure your documentation meets the highest standards. + Billing - Handles claim submissions, so you don't have to worry about reimbursement. + Administrative ... & monthly bonus structure up to $8,000/year + PTO and paid holidays + Medical , Dental, & Vision coverage + 401k match + Health Savings and Flexible Spending… more
- Trinity Health (Pontiac, MI)
- …equivalent work experience in order to gain knowledge of medical terminology, anatomy/physiology, familiar with medications, abbreviations, chemical symbols, charge ... prioritize people in stressful situations. + Working knowledge of medical terminology and ability to spell medical ...requires the ability to balance accounts and knowledge of claims processing, payments, and adjustments. + Work volume is… more