- The Cigna Group (Bloomfield, CT)
- …IFP programs. + Conduct both statistical and qualitative analyses utilizing claims , pharmacy, laboratory, and demographic data sources. + Facilitate the transition ... subject matter expert in clinical data standards, interoperability, and digital health initiatives. **Advanced Quality Measurement** + Direct the shift from… more
- Sedgwick (San Francisco, CA)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Risk Services Consultant | Cal OSHA | Remote in CA **This position is open to a hybrid… more
- The Cigna Group (Denver, CO)
- …drive execution + Partner with internal stakeholders to better understand Cigna claim systems, programs, and initiatives to identify opportunity areas and innovate ... Databricks and GitHub a plus + Knowledge of Cigna claims systems and/or standard medical coding including CPT-IV, ICD-10,...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- The Cigna Group (Bloomfield, CT)
- …Clinical Quality Data & Informatics (CQDI) team to improve population health outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager ... Management & Insight Development** + Extract and analyze data from eligibility, claims , pharmacy, lab, race/ethnicity, and 3rd party sources + Create dashboards and… more
- TEKsystems (Jacksonville, FL)
- Job Title: Outpatient Facility Coder ( Remote ) Location: 100% Remote (Must reside in one of the following states: Maryland, Pennsylvania, Washington DC, West ... Outpatient Facility Coder to join our team. This fully remote role requires a detail-oriented professional with strong coding...efficient code assignment. + Maintain high accuracy to prevent claim denials and billing errors. + Stay current with… more
- The Cigna Group (Tempe, AZ)
- …their dreams of building a family. You'll be empowered to engage patients, insurance companies, and multiple departments to process orders and ensure timely shipment ... insurances and/or patients. + Accurately enter prescriptions into our system, run test claims , run test claims and support patients with their medication orders.… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identify problems, and take ... to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:**… more
- Cognizant (Annapolis, MD)
- …and responsibility for assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well ... **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work… more
- Mass Markets (San Antonio, TX)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... and provide accurate solutions. + Use internal systems to manage accounts, process claims , and update records. + Follow scripts and procedures to ensure compliance… more
- Mass Markets (WY)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more