- Humana (Salem, OR)
- …for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must be able to work core business hours on EST time between ... a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about… more
- 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 ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- DoorDash (San Francisco, CA)
- …at DoorDash. About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance ... and influence key areas of our risk strategy. You will report to the Senior Manager, Actuary. You're excited about this opportunity because you will + Contribute to… more
- Walgreens (Deerfield, IL)
- …solutions. **Job Responsibilities** + Prepares tax filings and/or responses to tax auditor inquiries and analyzes various tax laws, regulations and procedures. + ... in compliance with government regulations and contract terms. Addresses issues / claims and corrects error root-causes. + Maintains active communication of tax… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- Somatus (Mclean, VA)
- …grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + ... relevant actuarial estimates. Leads the development/compilation of the risk premium, claims and shared savings forecasting models used in the corporate… more
- AdventHealth (Shawnee, KS)
- …management regulatory agencies, principles, and practices appropriate for the healthcare industry and non-profit organizations. Serves as the financial ... additional insurance protection to minimize risk Coordinate risk management/limit liability claims and lawsuits Optimize the handling of bank and deposit… more
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