- Prime Therapeutics (Lansing, MI)
- …pharmacy with us. **Job Posting Title** Clinical Research Analyst, Senior - Remote **Job Description** The Senior Clinical Research Analyst works closely with ... is responsible for the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety of data and outputs… more
- Prime Therapeutics (Richmond, VA)
- …future of pharmacy with us. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides analyses, consults and ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Manager - REMOTE Are you looking for an opportunity to join a global industry leader ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Providence (OR)
- …update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible ... specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of… more
- Guidehouse (Minneapolis, MN)
- …**Travel Required** **:** None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the direction of the Director ... billing scrubber bill hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position include: + Responsible for the daily resolution… more
- Sedgwick (Atlanta, GA)
- …Best Workplaces in Financial Services & Insurance Litigation Consultant | Auto | Remote **PRIMARY PURPOSE** : To address and handle high end cases with serious ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Sedgwick (San Francisco, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Cargo Surveyor | Remote W/Travel | Los Angeles, CA As a marine surveyor at Sedgwick, you'll ... career path. **This role is open to be based remote out of Los Angeles, CA. Travel required.** +...If you have a strong background in handling cargo claims , hull and machinery, yacht damage assessments, or investigating… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and interprets third party payments, adjustments, and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts, ... information that impacts the resolution of current or potential future claims . 3. Establishes relationships and maintains open communication with third party… more
- Sanford Health (SD)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote SD (Central Time) **Location:** Remote , SD **Address:** **Shift:** Day **Job ... reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more
- Sedgwick (St. Louis, MO)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Scientist ( REMOTE ) Data Scientist ( Remote ) **PRIMARY PURPOSE OF THE ROLE:** To develop ... modeling challenges, findings, and outcomes to stakeholders **QUALIFICATIONS** + Insurance claims knowledge preferred + Minimum one year of predictive modeling, data… more