- NTT DATA North America (Chicago, IL)
- …Nice to Have ? 5+ years of experience in health insurance claims processing ? Background in benefits administration or medical billing ? History of ... Role You'll be at the intersection of healthcare expertise and technological innovation, processing claims while helping us build the future of benefits… more
- Public Consulting Group (Hartford, CT)
- …support through claim issue research. Additional this position will assist in performing claims processing , medical record audits for all implemented ... issue research. Additional this position will assist in performing claims processing , medical record audits...for work authorization, including H-1B sponsorship . #LI #LI-LR1 #LI- remote As required by applicable law, PCG provides the… more
- Sedgwick (Chicago, IL)
- …establish expectations for return-to-work timelines and accommodations. Manages complex disability claims with a focus on medical compliance, duration control, ... connection. This role follows a hybrid work model, blending remote flexibility with in-office collaboration. To make that possible,...do you. We're not just a global leader in claims management; we're a team driven by empathy, expertise,… more
- Humana (Oklahoma City, OK)
- …consumer experiences Preferred Qualifications 2 years of Humana Experience Knowledge of Humana Medical and Pharmacy Claims Processing Systems Experience with ... caring community and help us put health first The Medical /Financial Risk Evaluation Professional 2 is responsible for supporting...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Centene Corporation (Frankfort, KY)
- …Word, Xcelys, SalesForce, and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims coding ... practice and quality standards. Applies a comprehensive knowledge of claims processing , provider customer service and payment...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Humana (Dayton, OH)
- …outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas Adequately staff and manage the program ... skills to make an impact WORK STYLE: Work at home/ remote . While this is a remote position,...Certifications, CPC, CCS, CFE, AHFI) Understanding of healthcare industry, claims processing and investigative process development Experience… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …customer engagement platforms, starting with, but not limited to, Otsuka's Medical Affairs Disease State Engagement platforms (PsychU, PsychUsim, ADPKDsim, and ... the ability align our platform initiatives to corporate, above brand and medical strategies. This successful candidate will need strong project management skills,… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …to US payer and channel customers. This role is based in Princeton with remote work placement as an option and reports to the Vice President, CNS Business ... to achieve access goals, including how to message, position, and leverage Medical , Value and Evidence, advocacy & evidence assessments, advocacy groups, and a… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
- Bristol Myers Squibb (Princeton, NJ)
- …develops standards and expectations for teams outside of the 340B COE (eg, claims processing ) ensuring teams are properly trained and execute 340B-related ... Excellence (COE) including program integrity activities, covered entity eligibility processing , and development of supporting analytics and reporting. This position… more
