- Highmark Health (Denver, CO)
- …:** The Graduate Intern - Data Analytics will work closely with Senior Data Scientists to support Highmark's Fraud, Waste, and Abuse identification efforts. ... Daily responsibilities will involve the in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect anomalous provider… more
- Sunrise Senior Living (Bethesda, MD)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... and shed light on meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated… more
- Air National Guard Units (Kirtland AFB, NM)
- …). The primary purpose of the position is to serve as the full-time professional legal adviser and support to the Adjutant General, the Commander of federally ... . In this primary purpose, this position also serves as the full-time professional legal advisor and support to Sexual Assault Response Coordinator and State Equal… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Relations (ER) department for the organization. This role will work directly with Senior members of the Otsuka Human Resources (HR) community as well as partner ... trends and identify areas for improvement + Generate regular reports for senior leadership to assess ER metrics and propose actionable insights **Qualifications/… more
- Sunrise Senior Living (Fort Belvoir, VA)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... and shed light on meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated… more
- Ascension Health (Indianapolis, IN)
- …in the patient account record of all billing activities. + Maintain documentation of claims processed as part of the daily claims reconciliation process. + ... reimbursement practices. + Consult with appropriate parties to resolve unbilled claims . Review recent accounts for proper billing practices and reimbursement.… more
- CVS Health (Cumberland, RI)
- …by maintaining quality control over individual enrollment applications and resolving claims issues within the corporate billing system. This role maintains ... key metrics such as DSO, cost to collect, aged claims , and bad debt. **What you will do** +...log documenting all provider-payer issues by state. Collaborates with Senior and Centralized Provider Managers to ensure accurate provider… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …efficient manner to meet required timelines. + Develop clear communications for senior management and SOP approvers to streamline and facilitate final label ... of benefit/risk profile. + Ensure that deliverables are met, and labeling claims are consistent across programs. + Develop and implement strategies to enhance… more
- UMB Bank (Kansas City, MO)
- …various UMB clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate risks for our customers and for ... Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims and Data Strategy that all focus on what's...reports to be utilized by lines of business and senior executives. The Enterprise Fraud Data Strategy Analyst create… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …data to inform continuous improvement. + Serve as a strategic advisor to senior medical leadership on field team readiness, capabilities, and performance. + Stay ... Affairs, setting the strategic roadmap and priorities for all internal professional development and capability building + Drive the development of standardized… more
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