• Supervisor, Medical Billing - Healthcare

    Guidehouse (San Marcos, CA)
    …**:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of billing and works closely ... billing processes. The Billing Supervisor reports directly to an Operations Manager or Director level position and may perform...to departments daily. + Maintain logs by department for claims issues in hold status. + Daily electronic and… more
    Guidehouse (04/18/25)
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  • Program Manager II - Medicare/Marketplace…

    Centene Corporation (Cheyenne, WY)
    …II role will have a strong background in project management, data analysis, and healthcare operations (emphasis on claims and configuration), with expertise ... role, you will:** + Leverage data analysis skills to run queries, pull claims data, and identify trends, providing insights that support decision-making and issue… more
    Centene Corporation (05/03/25)
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  • VP of Health Plan Operations

    Prime Healthcare (Ontario, CA)
    …With Us! (https://careers-primehealthcare.icims.com/jobs/196005/vp-of-health-plan- operations -and- claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
    Prime Healthcare (02/11/25)
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  • Sr Claims Supervisor

    HCA Healthcare (Nashville, TN)
    healthcare and preferably in a multi-state environment; knowledge of hospital and healthcare operations required + JD preferred + Defense and trial experience ... **Introduction** Do you want to join an organization that invests in you as a(an) Sr Claims Supervisor? At HCA Healthcare , you come first. HCA Healthcare has… more
    HCA Healthcare (02/06/25)
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  • Claims Complex Director - Healthcare

    AIG (San Francisco, CA)
    Claims Complex Director - Healthcare Professional...an exciting time to join us - across our operations , we are thinking in new and innovative ways ... create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General… more
    AIG (03/04/25)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and...on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more
    Commonwealth Care Alliance (03/04/25)
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  • Analyst, Claims Research

    Molina Healthcare (Bellevue, WA)
    …to increase the quality and efficiency of claims processing + Fields claims questions from Molina Operations teams + Interprets, communicates, and presents, ... impacted claims + Provides excellent customer services to our internal operations teams concerning claims projects + Appropriately convey information and… more
    Molina Healthcare (04/27/25)
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  • Manager, Claims Operations

    VNS Health (Manhattan, NY)
    …related field required Work Experience: + Minimum of 5 years of experience in healthcare claims processing, payment integrity, or related field required + Proven ... strategies to reduce claim errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established… more
    VNS Health (04/11/25)
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  • Remote Healthcare Claims Processing…

    NTT DATA North America (MO)
    …methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a computer with ... have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our...an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a… more
    NTT DATA North America (04/02/25)
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  • Director, Claims Operations

    Premera Blue Cross (Mountlake Terrace, WA)
    …Healthsource blog: https://healthsource.premera.com/ . We are seeking an experienced and dynamic ** Claims Operations Director** to join our team and oversee our ... claims management organization. This position offers an exceptional opportunity...strategic direction, business planning, and overall leadership for Premera's healthcare payer operations across various customer segments… more
    Premera Blue Cross (05/01/25)
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