• Risk Adjustment Coding Specialist ( Remote

    CDPHP (Latham, NY)
    …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values ... + Demonstrated knowledge of medical record review and diagnosis coding within the health insurance industry. + Demonstrated ability to research, analyze and… more
    CDPHP (08/27/25)
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  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Des Moines, IA)
    …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... ** Remote Hours: Monday - Friday, 7:00 AM -...claims using billing software including electronic and paper claim processing + Following up on unpaid claims more
    Cardinal Health (09/05/25)
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  • Data Science Lead Analyst - Cigna Healthcare-…

    The Cigna Group (Bloomfield, CT)
    **OVERVIEW:** A career within Forsyth Health 's Product team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient and ... market insights. At Forsyth Health , we focus on a collection of data management,...* Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) as needed to gain a… more
    The Cigna Group (09/30/25)
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  • Provider Data Representative - Cigna Healthcare…

    The Cigna Group (Bloomfield, CT)
    …to reduce inventory queues. Working closely with Contracting/Provider Relations, Quality, and Claims Managers and Supervisors to ensure the department is meeting its ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...also offer 401(k) with company match, company paid life insurance , tuition reimbursement, a minimum of 18 days of… more
    The Cigna Group (10/02/25)
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  • Managed Care Resident - Express Scripts…

    The Cigna Group (Bloomfield, CT)
    …to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client ... and/or other items relating to provider engagement. + Provide patient and health care professional education and medication information. + Design and present… more
    The Cigna Group (09/26/25)
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  • Pharmacy Clinical Consulting Advisor…

    The Cigna Group (Denver, CO)
    …by the medical sales teams. + Support detailed ad-hoc analysis of pharmacy claims utilization in order to provide clients with proactive consultation, as well as ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...also offer 401(k) with company match, company paid life insurance , tuition reimbursement, a minimum of 18 days of… more
    The Cigna Group (09/18/25)
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  • Revenue Cycle Analyst - Medical Group - E…

    Trinity Health (East Greenbush, NY)
    …group. Coding and EPIC knowledge not required but a plus. Must have knowledge of health insurance . After probation period 1 work from home day a week allowed. ... this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more...outstanding claims to contact to ensure all claims are billed timely + Review each claim more
    Trinity Health (09/03/25)
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  • SH&E Systems Manager ( Remote )

    Parsons Corporation (Centreville, VA)
    …other project and program personnel in conforming with Parsons' Environmental, Safety, Health , and Risk Program (ESHARP) management system and Parsons' policies and ... on audit findings, inspection findings, incident reports, and workers' compensation claims . Creates and submits regular analysis reports. + Represents Parsons during… more
    Parsons Corporation (10/04/25)
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  • Provider Credentialing Specialist I…

    CareFirst (Baltimore, MD)
    …School Diploma or GED. **Experience:** 3 years physician credentialing experience or health insurance /managed care operations experience in a customer service, ... makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while… more
    CareFirst (09/19/25)
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  • Remote Data Entry Associate

    TEKsystems (Okemos, MI)
    …determines whether inaccurate data should be updated, routed or adjudicated for claims processing * Corrects and updates information entered through the optical ... - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
    TEKsystems (09/30/25)
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