- Centene Corporation (Carson City, NV)
- …opportunities + Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus ... **Position Purpose:** Lead, negotiate, and manage multiple large hospitals and medical groups, physician, and/or ancillary contracting activities in accordance with… more
- Guardian Life (Dover, DE)
- …service logs. + Deliver solutions that enhance underwriting risk assessment, claims auto- adjudication , and customer servicing. Operational Excellence + Establish ... MA, Stamford, CT, Pittsfield, MA or Bethlehem, PA + Remote Candidates who can travel up to 20% of...individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue… more
- Texas Health Resources (Arlington, TX)
- …and coordination of all payment integrity operations related to the processing and adjudication of professional claims to insurance. - Manages all essential ... Texas Health Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Remote opportunity Position Summary Under general direction of the PBO Revenue Integrity… more
- Humana (Frankfort, KY)
- …Background in Medicare and/or Medicaid product management or support. + Familiarity with Claims Adjudication Systems (CAS). + Knowledge of X12 transaction sets ... this interview to take approximately 10-15 minutes. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more