- AON (NY)
- …We currently have an exciting career opportunity for a Director of Travel Insurance Program Development with a flexible ( Remote /Hybrid) schedule. This position ... customer value, and profitability. + Leverage data to analyze claims trends and product performance to inform product and...an exciting career opportunity for a Director of Travel Insurance Program Development with a flexible ( Remote /Hybrid)… more
- Highmark Health (Pittsburgh, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... the healthcare system, helping them choose and use their insurance , connecting them with the right tools and resources,...RBE models), especially CM delegation + Familiarity with major health care data sources ( claims , clinical) and… more
- Trinity Health (Athens, GA)
- …as necessary. 6. Generates authorization information for physicians, patients, and health plans. 7. Obtains pre-certifications, insurance , and testing ... technologies and services change. Assists in maintaining charge review and claim edit registration work queues and identifying trends to optimize workflows/education… more
- LA Care Health Plan (Los Angeles, CA)
- Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, ... (Mid.) - $62,270.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...member appointments. While this role is a combination of remote and in office work, this role is intended… more
- Humana (Cheyenne, WY)
- **Become a part of our caring community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth ... analysis of healthcare claims utilizing revenue codes, CPT/HCPCS, ICD-10 diagnosis codes, DRG,...reserving or trending) + Experience in managing large healthcare claim datasets and conducting trend analysis + Deep understanding… more
- University of Michigan (Ann Arbor, MI)
- …**Required Qualifications + High school diploma in combination with experience working with health insurance or in a healthcare setting is essential. + ... held due to insurance related issues post service and prior to claim submission + Attend and participate in operational meetings, utilizing LEAN thinking and… more
- GE Vernova (Schenectady, NY)
- …guidance and support to Contract Managers and others for the settlement of claims under customer/ partner insurance policies. + Provide internal training on ... As a member of the Gas Power New Units insurance team that focuses on internal and external ...and underwriters during negotiations and when needed for negotiating claims in execution. + Obtain and provide Premium estimates… more
- Centene Corporation (Carson City, NV)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....benefits including a fresh perspective on workplace flexibility. **_ Remote role, desired candidate resides in Nevada, specifically in… more
- AON (Chicago, IL)
- …responisble for the day-to-day account management and broking of complex personal insurance programs for affluent clients and families. You will help empower results ... + Manages an assigned book of high-net worth personal insurance clients with personal insurance portfolios of...Maintains an awareness of all large and potentially complicated claim -related matters and assists in the negotiation of equitable… more
- Snapsheet (Chicago, IL)
- …energy + Quick to learn new enterprise software products Preferred Qualifications: + Insurance industry or claims experience + Experience selling enterprise SaaS ... Job Title: Pre-Sales Engineer Company: Snapsheet Job Location: Remote Job Type: Full-Time About Snapsheet: Snapsheet exists to simplify claims . We leverage our… more