- The Cigna Group (Tampa, FL)
- …the requirements of business and reporting teams within areas such as pharmacy claims , medical claims , membership eligibility, etc. Build automated solutions ... _The job profile for this position is Software Engineering Senior Advisor which is a Band 4 Career Track...for data quality checks, Audit Balance and Controls (ABC), and monitoring processes. Develop… more
- J&J Family of Companies (Raritan, NJ)
- …member of Johnson & Johnson's Family of Companies, is recruiting for a ** Senior Analyst, Contract Validation & Analytics (CVA)** to support our Enterprise Contract ... data submissions, adhering strictly to contractual obligations, Corporate Internal Audit , Sarbanes Oxley, and JJHCS standards. + Apply your...on the accuracy of customer submissions. + Process MFP Claims , perform MDM Class of Trade Reviews ,… more
- DoorDash (San Francisco, CA)
- …at DoorDash. About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance ... and influence key areas of our risk strategy. You will report to the Senior Manager, Actuary. You're excited about this opportunity because you will + Contribute to… more
- Aegon Asset Management (Philadelphia, PA)
- …which includes Finance, People and Places, General Counsel, Risk, Internal Audit , Strategy and Development, and Corporate Affairs, which covers Communications, ... * For more information, visit transamerica.com . Job Description Summary The Senior Director - Benefits Strategy, Design and Administration is responsible for the… more
- AIG (Chicago, IL)
- …the way we help customers to manage risk. Join us as a Senior Regional Production Specialist, Lexington Healthcare to play your part in that transformation. ... + Produce, underwrite, manage and service a profitable book of miscellaneous medical facilities and allied healthcare business. + Utilize underwriter authority in… more
- Armed Forces Benefit Association (Alexandria, VA)
- …Reconciliation and Reporting + Reconciling member contribution revenue and death claims expenses to subsidiary ledgers. + Preparing related journal entries, reports, ... reporting. + Receivables and Payables Reconciliation + Reconciling member receivables, claims payables, experience refund payables, and advanced contributions. + … more
- Centene Corporation (Clayton, MO)
- …Control-M and Cron; (3) Working with Healthcare data, including membership, enrollment, provider, medical claims , pharmacy, lab, and clinical data to be able to ... fresh perspective on workplace flexibility. EMPLOYER: Centene Management Company, LLC POSITION: Senior Data Engineers JOB ID No.: 1570529 DUTIES: + Provide the… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA Pu rp ose: The Senior Administrative Assistant oversees Coding/ Coding Quality policies, procedures and other operational workflows ... Coding grid, and Client Facility Grids + Tracking of audit results /coder booklets + Maintains and updates Coder...dpro fi c ie ncywith MS Exc el and medical background r eq uired Coding experience and/or certification… more
- Leonardo DRS, Inc. (Fitchburg, MA)
- …to accurately interpret the results + Support of government compliance and audit activities + Understand standards of conduct to include: conflicts of interests; ... EVM, cost and pricing, C/SSR); risk management; return on investment (ROI); audit preparation and management; and program review preparation + Support, communicate,… more
- Mass Markets (Killeen, TX)
- …such as quality assurance, training, IT, and recruiting. + Develop and audit quality assurance strategies to ensure the delivery of world-class service + ... At MCI, we believe that your hard work deserves recognition and reward. Our compensation and benefits packages are...+ Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of… more