- Randstad US (Corvallis, OR)
- healthcare claims manager - perm opportunity. + corvallis , oregon + posted 8 days ago **job details** summary + $73,000 - $110,000 per year + permanent + high ... our dynamic team in Corvallis as a pivotal leader in our Healthcare Claims Department! We're seeking a talented individual with robust management experience to… more
- The MITRE Corporation (Mclean, VA)
- …make, then choose MITRE-and make a difference with us. MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in ... government create lasting impact in fields as diverse as cybersecurity, healthcare , aviation, defense, and enterprise transformation. We're making a difference every… more
- Guidehouse (San Marcos, CA)
- …Diploma + One year relevant experience **What Would Be Nice To Have** **:** + Healthcare claims background + PC skills in a Windows environment are required. ... Knowledge and utilization of desktop applications to include Word and Excel is essential. + Ability to initiate and follow through on projects and work independently with minimal supervision required. \#IndeedSponsored The annual salary range for this position… more
- Sharp HealthCare (San Diego, CA)
- …+ Juris Doctor (JD) + 10 or more years managing third party liability claims for healthcare organization. + 10 or more years procuring, renewing, and ... liability claims__* Assists with management of professional, hospital and general liability claims and litigation for Sharp Healthcare , Sharp Rees-Stealy Medical… more
- Hartford HealthCare (Hartford, CT)
- …Summary:* Manages a robust caseload, from inception to closure, of Hartford HealthCare 's claims and suits through HHC's Legal Department. Responsible to ... Listener who can exhibit empathy to claimants . Demonstrated history of proactive claims management . Demonstrated knowledge of the healthcare and insurance… more
- BrightSpring Health Services (Oklahoma City, OK)
- …of patients nationwide through our growing network of branches and healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of ... pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims...Pharmacy + 1+ years pharmacy experience + Pharmacy or healthcare -related knowledge + Knowledge of pharmacy terminology including sig… more
- State of Colorado (Denver, CO)
- …years of professional experience testing/supporting the implementation or operation of large healthcare IT solutions like healthcare claims processing ... years of professional experience testing/supporting the implementation or operation of large healthcare IT solutions like healthcare claims processing… more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …corrections to claim transactions. 2) Examines a variety of routine and complex healthcare claims for payment of medical and ancillary care for eligible ... The primary function of this position is to evaluate and process health care claims that are being corrected or reconsidered for payment. The position is responsible… more
- State of Indiana (Indianapolis, IN)
- …candidate should have a Bachelor's degree with a minimum of five years of healthcare claims experience, Medicare Claims experience required. This candidate ... Medicare Claims Analyst Date Posted: Jun 6, 2024 Requisition...fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the primary subject matter… more
- Guidehouse (Lewisville, TX)
- …Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies ... and procedures are followed. Representatives will perform any and all job-related duties as assigned. **_This position will be on a hybrid schedule working two days in the office and three days from home._** **_Questions regarding this position, you may… more
- Public Consulting Group (Columbus, OH)
- …biller in a doctor's office setting. + Knowledge in billing insurance healthcare claims to private/commercial and Medicaid insurance companies. + Working ... more, visit www.publicconsultinggroup.com . **Responsibilities** . Analyzes the development of claims assigned at each level of the adjudication process. . Outlines… more
- Robert Half Legal (Woodbridge, NJ)
- …role will bring at least three (3+) years of exposure managing and litigating healthcare claims (either in-house or law firm based) and be comfortable handling ... litigation matters (whether in-house or law firm based) + Familiarity with healthcare claims and the related regulatory matters. + Solid at-home / work from… more
- CVS Health (Hartford, CT)
- …litigation. This role will be handling a docket of more complex pharmacy/ healthcare claims and experience handling malpractice litigation or complex litigation ... counsel and national coordinating counsel defending CVS in general pharmacy, healthcare and premises lawsuits filed throughout the United States. Responsibilities… more
- Commonwealth Care Alliance (Boston, MA)
- …including the MHK Market Prominence platform. **Knowledge, Skills & Abilities Required:** ** Healthcare Claims ** Strong knowledge of healthcare claims ... a related field **Education Desired:** Master's degree in computer science, Healthcare , Data Science, Business Administration **Experience Required:** + 5+ years'… more
- Wellpath (Nashville, TN)
- …member of the team responsible for managing the company's professional and general liability claims , with a focus on healthcare liability claims . This ... claims and/or litigation experience with a focus on handling professional healthcare and/or correctional liability claims . Experience in correctional … more
- Guidehouse (Lewisville, TX)
- …of relevant work experience. + Minimum 1 year of supervisory experience with a healthcare provider or an outsourcing company. + 5 years of relevant work experience ... **What Would Be Nice To Have** **:** + PC skills in a Windows environment are required. + Knowledge and utilization of desktop applications to include Word and Excel is essential. + Ability to initiate and follow through on projects and work independently. +… more
- Robert Half Accountemps (Sterling Heights, MI)
- …in a dynamic environment, handling a variety of responsibilities related to healthcare billing and claims . Responsibilities: * Facilitate reconciliation of ... efficient data management * Work independently, demonstrating proficiency in healthcare billing and claims in the healthcare industry. Requirements * Minimum… more
- Molina Healthcare (Covington, KY)
- …be working in the core PST timezone. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... analyzing financial/performance management metrics + Must have experience in Healthcare environment specifically Claims **Preferred Education** Bachelor's Degree… more
- Molina Healthcare (Lexington, KY)
- …the Data Analytics and Operations team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... support critical enterprise assets and grow Provider analytics capabilities. Healthcare background highly preferred. **Knowledge/Skills/Abilities** * Ensure timely creation… more
- Molina Healthcare (Georgetown, KY)
- …standard EST business hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
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