- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- Molina Healthcare (ID)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more
- Beth Israel Lahey Health (Charlestown, MA)
- …back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and ... changes in support of all Epic Resolute Professional Billing, Claims , Remittance, and Router applications including ongoing production maintenance, upgrades,… more
- Dartmouth Health (Lebanon, NH)
- …Pharmacy Technician Certified I. This is a Full Time, 40hr per week, benefitted remote position. Dartmouth is the best where it matters most! DH Offers You: ... for verification by a pharmacist. * Processes third party claims . * Performs in the call center, mail order...or Specialty Pharmacy if required to administer immunizations * Remote :Fully Remote * Area of Interest:Allied Health… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system...to sit for long periods of time. . 100% remote but if local may include some travel to… more
- Takeda Pharmaceuticals (Boston, MA)
- …others as appropriate) to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure that Takeda products have ... around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote..." remote " in accordance with Takeda's Hybrid and Remote Work policy. **Takeda Compensation and Benefits Summary** We… more
- Morley (Columbus, OH)
- …with current events? Love building personal relationships with customers? Become a remote Travel Reservation Specialist at Morley and apply your interests every day! ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- NTT America, Inc. (Dallas, TX)
- …now. We are currently seeking a Digital Solution Architect - AI Native BPS (US Remote ) to join our team in Dallas, Texas (US-TX), United States (US). **AI Native BPS ... want to build what the market hasn't seen yet, this is it. Location: Hybrid/ Remote Type: Full-Time Role Overview: You will lead the design of end-to-end business… more
- WCG Clinical (Cary, NC)
- Data Analytics & Insights (DAI) Product Solutions, Associate Director ( Remote ) **General Information** **Location:** Cary, NC, Remote **Organization:** ... to integrate, interpret and utilize multiple data sources (eg EHR, claims , public registries, proprietary data). + Outstanding written and verbal communication… more