- Highmark Health (Albany, NY)
- …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- BAE Systems (Endicott, NY)
- …**Duties & Responsibilities to include:** + This person will function as a senior level labor and employment specialist supporting the Deputy Chief Counsel, ... **Job Description** We are seeking a senior level, experienced lawyer to serve in a...providing legal opinions, interpretations, drafting of documents and other general legal assistance to all levels of Company personnel… more
- Tufts Medicine (Boston, MA)
- …using specialized knowledge and skills typically acquired through advanced education. A specialist level role that is a recognized subject matter expert in job ... resolving difficult and often complex problems. **Job Overview** The Senior Research Associate will be a member of the...and publish manuscripts, analyze large datasets (eg, health care claims data and electronic medical record) to estimate health… more
- Portland General Electric (Portland, OR)
- …clean energy solutions that are also affordable and accessible to all. As a Senior Enterprise Risk Analyst, you will have the unique opportunity to lead enterprise ... including physical, financial, credit, and other forms of business risk for Portland General Electric. You will identify and analyze potential sources of loss to… more
- Highmark Health (Pierre, SD)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor/Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising the… more
- The County of Los Angeles (Los Angeles, CA)
- …problems of organization, budget, systems and procedures, program, facilities planning, general management, or personnel. Acceptable classes are but may not limited ... Assistant III, Sheriff; Operations Assistant III, Sheriff; Management Analyst; Financial Specialist II; Staff Assistant II; Administrative Intern II; or higher. **… more
- AON (Chicago, IL)
- …for property and casualty lines of coverage. Knowledge of property and general liability rating, reading, and understanding of coverage forms and maintenance of ... expertise as needed. Other Functions: + Work with the risk management specialist to understand administrative functions working together to identify ways to increase… more
- Oak Orchard Health (Brockport, NY)
- …for the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working ... the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through… more
- San Jose State University (San Jose, CA)
- …College of Social Sciences (COSS) and receiving work direction from the Senior College Financial Resource Analyst and the College Administrative Analyst, the ... and class scheduling support to the College of Social Sciences. Under general direction, the Associate Resources Analyst compiles and tracks financial data for… more