• DRG Coding Auditor

    Elevance Health (Hanover, MD)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies,… more
    Elevance Health (10/25/25)
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  • Encounter Data Management Professional

    Humana (Indianapolis, IN)
    …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office (Word, Excel,...home in the state of California will be provided payment for their internet expense. + A minimum standard… more
    Humana (11/21/25)
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  • Outpatient Coding Manager

    HCA Healthcare (Nashville, TN)
    …Center team members to address issues related to unbilled management, denials, medical necessity, payment compliance + Maintain up-to-date knowledge of ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (11/08/25)
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  • Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... with policies and procedures. You will: + Research over and under- payment inquiries/appeals + Compile and maintain statistical data consistent + Maintain… more
    UCLA Health (11/07/25)
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  • Inpatient Pharmacy Technician

    Sutter Health (Berkeley, CA)
    …such as mediset system and/or electronic health record a plus. + Experience with medical payment and reimbursement programs or willingness to learn is a plus. ... using the electronic health records * Technicians receive training in the electronic medical records as required to perform their daily workflow. Refills are checked… more
    Sutter Health (11/26/25)
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  • School Bus Monitor

    Beacon Mobility (Merriam, KS)
    …- $15.26-$17.70 * Safety & Attendance Bonus: $25.00 / month Benefits Available + Medical Fixed- Payment Indemnity + Dental + Vision + Accident Plan + Critical ... company policies, and not having significant disciplinary issues. School Bus Monitor Bonus Payment : The sign-on bonus will be paid in two installments: + $250 paid… more
    Beacon Mobility (09/04/25)
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  • Senior Network & Provider Analytics

    Point32Health (RI)
    …& utilization analytics required by other departments within Point32Health including Medical Management, Contracting, Payment & Policy, etc. + Utilizing ... various Point32Health reports and financial analytics that focus on medical cost, utilization, membership, trends, and comparisons of provider reimbursement… more
    Point32Health (10/10/25)
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  • Field Reimbursement Manager - Shockwave (West)

    J&J Family of Companies (Santa Clara, CA)
    …in healthcare, insurance, and/or reimbursement field with emphasis on coding, coverage, and payment issues; medical device experience preferred. + 5-7 years of ... initiatives that lead to improved patient and market access of Shockwave Medical products. This highly visible role will work with internal and external… more
    J&J Family of Companies (11/21/25)
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  • Provider Contracting Specialist - (Remote)

    CareFirst (Baltimore, MD)
    …requirements. + Solid understanding of CPT-4, HCPCS, revenue and ICD coding, medical terminology, claims payment , contract negotiations and problem resolution. ... with company policies and procedures, and coordinating with the Payment Transformation team to transition fee-for-service arrangements to value-based care.… more
    CareFirst (11/22/25)
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  • Medical Director ( Medical Policy…

    CVS Health (Austin, TX)
    …quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide ... CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the... Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction… more
    CVS Health (10/19/25)
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