- 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 (Baton Rouge, LA)
- …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 ... rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… 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
- HCA Healthcare (Overland Park, KS)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... **Description** **After 90 days, Hybrid/ Remote work may be available - Interested candidates...Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …skills + Knowledge of all aspects of call center needs with expertise in insurance verification and claims + Ability to effectively evaluate performance, resolve ... This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly...insurance . The company regularly reviews and updates its health , welfare, and fringe benefit policies to ensure competitive… more
- The Hartford (Remote, OR)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... do. The Senior Staff Attorney is an in-house, fully remote , position that will handle a designated caseload of...business environment where you will have direct interaction with Claim partners and insureds, we want to speak with… more
- Zelis (NJ)
- …and financial negotiation with providers + Experience and working knowledge of Health Insurance , Medicare guidelines and various healthcare programs + Strong ... ensure accurate results to our clients + Manage assigned claims and claim report, adhering to client...paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental,… more
- Centene Corporation (Pittsburgh, PA)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …root causes and recommend process improvements. + Communicate effectively with insurance companies to resolve claim issues, including denials, underpayments, ... accounts to ensure timely follow-up and resolution of outstanding claims . + Analyze payor trends and denial patterns to...+ Maintain detailed documentation of all payor interactions and claim resolution activities in the AR system. + Maintain… more