- American Family Insurance - Corporate (Madison, WI)
- …to travel to an office location for in person engagement activities such as team meetings, trainings and cultural events. \#LI- Remote We provide benefits that ... leadership for staff whose primary tasks are the adjudication and settlement of claims involving the most technically challenging claims . You will possess… more
- The Cigna Group (Bloomfield, CT)
- **Position Summary:** The Program Management Lead Analyst plays a key role within the Clinical Sales and Network Organization (CSNO) team , supporting CSNO ... Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. + Summarize and compile findings to support Market Medical… more
- Trinity Health (Davenport, IA)
- …Work 100% Onsite in Davenport, Iowa for Training Only, and then Remote (Pay Range: $17.1538-$25.7307) Performs day-to-day billing and follow-up activities within the ... Serves as a member of the billing and follow-up team at a PBS location responsible for billing and...revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s).… more
- Martin's Point Health Care (Portland, ME)
- …claim payments. This role focuses on preventing overpayments, identifying incorrect claims , and leading recovery efforts while improving system controls and ... best practices, PI vendors to augment internal expertise and activities. + Lead pre-payment and post-payment audits to identify overpayments, duplicate claims ,… more
- AON (Burlington, VT)
- …this job at any time. #LI-YT1 #LI- REMOTE 2025-92436 Are you ready to lead a team in delivering exceptional client management and financial solutions? Do you ... Are you ready to lead a team in delivering exceptional...of Fortune 500 companies. This is a hybrid OR remote role. Strong preference for candidates who can work… more
- TEKsystems (Denver, CO)
- Medical Appeals Specialist (Fully Remote ) Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As a ... follow‑ups to resolution. What you'll do 1) Research & Claims Audit You'll be assigned audits with varying volumes...of accounts and will pivot priorities based on monthly team targets. + Conduct horizontal audits (underpayments across a… more
- Prime Therapeutics (Lansing, MI)
- …The Senior Clinical Research Analyst works closely with Prime's Health Outcomes Research team to lead clinical research projects that measure, and report ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...various levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data… more
- Sedgwick (San Francisco, CA)
- …Workplaces in Financial Services & Insurance Sr. Risk Services Consultant | Cal OSHA | Remote in CA **This position is open to a hybrid opportunity in Sacramento, CA ... OR may be open to a remote , work-at-home, telecommute role in California*. This role will...to vendors, insurance markets and other parties; and to lead the development of new business, products and client… more
- The Cigna Group (Bloomfield, CT)
- …actuarial professional with a passion for problem solving and a strong desire to learn, lead and innovate to join our growing team . This role will work ... individual should be an inquisitive learner and a strong team player who enjoys working in a dynamic environment....and setting discount or trend guarantees. The candidate will lead the exploration and implementation of data quality strategies… more
- Danaher Corporation (New York, NY)
- …and evidence generation. Reporting to the Chief Data Officer (CDO), you will lead a multi-disciplinary team that partners across the CIO organization, university ... of the Chief Innovation Office and will be fully remote . In this role, you will have the opportunity to: + Lead and mentor a high-performing team of data… more