- Trinity Health (Clifton Park, NY)
- …of clerical duties related to the efficient and service-oriented operation of a medical practice. The Senior Registration Associate will perform all job ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Sr Registration Associate - Clifton Park - FT/DAY-** **Endocrinology** If you are looking for… more
- Cardinal Health (Nashville, TN)
- …department. Key responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and ... and prioritizes getting the right things done. + Processing chargeback claims from pharmaceutical wholesalers to manufacturers + Verifying membership, and performing… more
- CareFirst (Baltimore, MD)
- …Credentialing department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting initiatives through statistical ... and quality monitoring organizations (NCQA). + Builds and maintains high performance complex medical networks to support the needs of the market and our clients. +… more
- Beth Israel Lahey Health (Plymouth, MA)
- …on patient, employee, and visitor safety. + Support membership in the Academic Medical Center Patient Safety Organization (AMC PSO) as part of BID-P goals to ... Patient Safety Evaluation System at the direction of the Risk manager and BID-P Senior Director of Quality and Patient Safety/ Patient Safety Officer. + Promotes the… more
- The Cigna Group (Bloomfield, CT)
- …profile for this position is Business Analytics Advisor, which is a Band 4 Senior Contributor Career Track Role. + **Summary** + Cigna is seeking a highly motivated ... trend and other metrics. You will also partner with network management, medical management, and sales units to understand resulting medical expense… more
- 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
- Waystar (Louisville, KY)
- …Healthcare Revenue Cycle Management (RCM) technology company, is seeking a seasoned Senior Data Engineer to support and evolve our Data Licensing product team. ... + Experience working with healthcare data and understanding RCM processes ( claims , billing, payments). + Familiarity with data orchestration tools (eg, Airflow,… more
- University of Southern California (Los Angeles, CA)
- …and technical specialist on research projects that use administrative healthcare claims data. SAS is required. The programmer is an integral part of the ... Senior SAS Research Programmer - USC Schaeffer CenterApply...Linux systems. + Serves as lead programmer or technical specialist on research projects. + Experience with health data,… more
- Elevance Health (Mason, OH)
- …long term services and supports, and psychosocial needs._ **Network Education Representative Senior - LTSS** **Location:** This position is based in Ohio, the ... workplace. Alternate locations may be considered. The **Network Education Representative Senior - LTSS** is responsible for enhancing and overseeing a comprehensive… 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