- Sanofi (Northborough, MA)
- …Location: Northborough, MA Framingham, MA About the Job We deliver 4.3 billion healthcare solutions to people every year, thanks to the flawless planning and ... across the Massachusetts BioCampus. We are an innovative global healthcare company with one purpose: to chase the miracles...coverage targets as defined by Policy or Critical Material Manager (GSP) in case of exceptions / deviations *… more
- Unknown (Charlotte, NC)
- Senior Vice President, Provider Solutions About the Company Innovative healthcare solutions provider specializing in insurance services Industry Insurance Type ... review out-of-network repricing primary ppo and alternative repricing administration edi and clearinghouse solutions medical management data warehousing data… more
- Zebra Technologies (Lincolnshire, IL)
- …reimagining the future - for our people, our customers, and the world. As a EDI Senior Manager of Information Technology you will be responsible for designing, ... solutions effectively with business objectives and requirements. Technical / Functional Product Manager : + Lead and manage EDI implementation projects with… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** Under the direction of the Manager of EDI Management, the Systems Analyst- EDI Mgmt will use ... outbound data files for Sharp Health Plan. The Systems Analyst- EDI Mgmt will work with general Health Plan operational...EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not limited to 837s,… more
- HCA Healthcare (Jacksonville, FL)
- …with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Become a manager with an organization that invests in ... to the community. We are seeking distinguished applicants for our Regional Materials Manager opening. Help HCA Healthcare create healthier tomorrows for patients… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** ** Manager , Health and Wellness Enrollment Services** **Job Summary** The Manager , Health and Wellness Enrollment ... payers and government agencies. This role ensures compliance with healthcare regulations, monitors enrollment lifecycle activities, manages performance metrics, and… more
- Molina Healthcare (AZ)
- …stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare /Claims)** + Deep understanding of claims lifecycle, EDI transactions, ... may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people,… more
- Zelis (St. Petersburg, FL)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions....that shape who you are. Position Overview The Senior Manager of Specialty Support & Clearinghouse Operations is a… more
- Waystar (Atlanta, GA)
- …Suite + Good written and oral communication skills; team player + Experience with EDI and/or healthcare transactions required + Ability to travel up to 20% ... Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for establishing new client payer edit configurations.… more
- Cedars-Sinai (CA)
- …10-the most prestigious level of certification-among more than 300 surveyed healthcare organizations. Cedars-Sinai netted high scores across multiple verticals and ... **What will you be doing in this role:** The Manager , Data Analytics and Delivery will supervise a group...the Data & Analytics Delivery leadership group and overall EDI on report development capabilities in SQL, Tableau, Power… more
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