• Claims Care Associate

    Lincoln Financial Group (Carson City, NV)
    …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
    Lincoln Financial Group (09/18/24)
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  • Auto Claims Call Center Senior…

    Zurich NA (Carson City, NV)
    …for customer care 's improvements. * Handle first and third party claims taking responsibility to resolve all enquiries from both customer and external contacts ... Auto Claims Call Center Senior Representative 114100 Are you...long hours and required weekend schedules? This is a remote Inbound Customer Service role. The ideal candidate would… more
    Zurich NA (07/17/24)
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  • Claims Process Organization Project Manager

    Humana (Carson City, NV)
    …determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage all aspects of a ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
    Humana (09/17/24)
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  • Associate Director, Global Labeling Lead…

    Takeda Pharmaceuticals (Carson City, NV)
    …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
    Takeda Pharmaceuticals (07/18/24)
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  • Associate Director, Signal Detection…

    J&J Family of Companies (Carson City, NV)
    Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
    J&J Family of Companies (09/19/24)
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  • Clinical Research Scientist 2

    Humana (Carson City, NV)
    …health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
    Humana (09/14/24)
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  • Business Intelligence Engineer 2

    Humana (Carson City, NV)
    …put health first** Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using ... of action. About Our Team The Provider Intelligence and Claims Analytics (PICA) team is a blend of experts...business outcomes and decisions **Additional Information** This role is " remote /work at home" and can be based anywhere in… more
    Humana (08/15/24)
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  • Senior Informaticist

    Humana (Carson City, NV)
    …objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality). Humana is seeking a ... understanding of physician networks, physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based… more
    Humana (09/18/24)
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  • Senior Business Intelligence Engineer

    Humana (Carson City, NV)
    …Science, finance, Statistics, Economics or related field + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... and Root Cause Analysis (RCA) experience **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this… more
    Humana (08/30/24)
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  • Medical Director - Grievances and Appeals

    Humana (Carson City, NV)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (09/17/24)
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