- Aspen Dental (Albany, NY)
- …planned growth we are very pleased to offer an opportunity to join our team as a Claims Manager . **Job Summary:** The Risk Management Claims Manager will ... general direction of the Director of Risk Management, the Claims Manager is responsible for mitigating, reporting,...risk management, compliance, or a similar role within the healthcare or dental industry in Claims Management.… more
- HCA Healthcare (Austin, TX)
- …Do you want to join an organization that invests in you as a(an) Claims Coordinator? At St. David's Healthcare , you come first. HCA Healthcare ... over the course of three years. **Benefits** St. David's Healthcare , offers a total rewards package that supports the...serve as a back-up to the Accounts and Billing Manager when needed. + You will ensure operations… more
- UCLA Health (Los Angeles, CA)
- Description We are seeking a detailed-oriented and experienced Claims Manager to join our Claims leadership team. In this key role, you will oversee a ... work experience, preferred + 5 years previous experience in claims operations specifically related to Medicare Advantage...Advantage or managed care in a complex and diversified healthcare or health insurance company + 3 years experience… more
- VNS Health (Manhattan, NY)
- OverviewManages the configuration and maintenance of the claims system used to administer operations of current and new business for VNS Health Plan products. ... reports, recommendations, and updates/revisions to address existing and potential claims system issues. Works under general direction. Compensation Range:$98,200.00… more
- Amazon (Seattle, WA)
- …a Senior Product Manager - Technical to spearhead our pivotal claims billing applications, foundational operations , and new feature development across ... from engineers, technical program managers and designers to compliance teams, vendors, operations and BizDev teams. Key job responsibilities * Lead the development… more
- Healthfirst (NY)
- …+ Exposure to claims , provider payment, provider onboarding, or contracting operations within a healthcare payor environment. WE ARE AN EQUAL OPPORTUNITY ... by collaborating closely with peers, leaders, and staff throughout Operations to ensure the appropriate parties are contributing. +... and IT + Experience working as a project manager in a healthcare setting + Experience… more
- LA Care Health Plan (Los Angeles, CA)
- …that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily operations of the claims department. This position ... Supervisor, Claims Job Category: Claims Department: ...Duties Continued Education Required Bachelor's Degree in Business or Healthcare Related Field In lieu of degree, equivalent education… more
- Guidehouse (San Antonio, TX)
- …in Lieu of Diploma / GED. + 0-2+ year's experience in office, business, operations , customer service or healthcare field. **What Would Be Nice To Have** ... home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###._** + Representatives are responsible for working… more
- LA Care Health Plan (Los Angeles, CA)
- … claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals ... Claims Quality Auditor II works closely with the Claims Quality Auditing Manager . The Claims...maintains up-to-date knowledge of current trends and issues in healthcare , national and statewide standards and regulations, policies and… more
- Elevance Health (Mason, OH)
- ** Claims Auditor Lead** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The Claims Auditor Lead is responsible for leading the high...for leading the high dollar audit team within Service Operations . **How you will make an impact:** + Responsible… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …function. + Knowledge of the claim submission process for electronic and paper-based claims . + Knowledge of clinic operations related to patient registration, ... treatments and technologies. **Responsibilities** This job is responsible for submitting claims for the Franciscan Medical Group (FMG) in accordance with payer… more
- Hackensack Meridian Health (Eatontown, NJ)
- …long-term care pharmacy third party billing functions as assigned by the Billing Manager . Works alongside the pharmacy operations team to ensure timely ... keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change....submission and resolution of prescription claims . **Responsibilities** A day in the life of a… more
- Catholic Health Services (Melville, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… more
- VNS Health (Manhattan, NY)
- …and clinical needs. Collaborates with Business Unit and/or Project Manager on assigned projects. Works under general supervision. Compensation Range:$63,800.00 ... and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees… more
- Guidehouse (El Segundo, CA)
- …experience in lieu of diploma/GED + 0-2+ years relevant experience within healthcare , insurance, business and/or revenue cycle operations . **What Would Be ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Hospital … more
- Guidehouse (Lewisville, TX)
- …in lieu of Diploma / GED. + 0-2+ year's experience in office, business, operations , customer service or healthcare field. **What Would Be Nice To Have** ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###._** The Patient Account Representative has an… more
- Healthfirst (NY)
- …with health plan operations and IT + Experience working as a project manager in a healthcare setting + Experience with adult learning and development ... frameworks and methodologies required by Healthfirst. + Represents Healthfirst Operations in the development of business requirements and associated artifacts… more
- Robert Half (Dallas, TX)
- …+ The healthcare industry knowledge and a deep understanding of claims data, payer operations , internal controls, compliance, IT, and/or financial processes ... JOB REQUISITION Finance & Performance Management - Healthcare Industry - Manager LOCATION DALLAS ADDITIONAL LOCATION(S) AUSTIN, CHICAGO, HOUSTON JOB DESCRIPTION… more
- City of New York (New York, NY)
- …distribution. Coordinate identification and application for new funding opportunities. OHSSA Healthcare Operations and System Improvement: Manage key vendor ... New York City. The Bureau of Equitable Health Systems seeks to hire a Healthcare Payment and Financing Innovation Manager . This position will be responsible for… more
- Molina Healthcare (Long Beach, CA)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and… more
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