• Copay Lead - Support

    AssistRx (Orlando, FL)
    …people as our strongest asset. Join us as we continue to make a difference The Copay Lead is a critical role within the organization and is primarily responsible ... for customer business review meetings. Responsible for utilizing forecasts and analyzing claims data to determine Copay utilization, escrow account replenishment… more
    AssistRx (11/13/24)
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  • Head of Business Transformation, Group…

    Guardian Life (Boston, MA)
    Claims Strategy, Head of Group Claims Enablement, and Head of Group Claims Transformation & Reengineering to define and support the strategic roadmap and ... As **Head of Business Transformation, Group Claims ** you will be responsible for leading and...ensure alignment against business priorities and initiatives. You will lead the team as a forward-thinker, innovator, and change… more
    Guardian Life (10/17/24)
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  • Team Leader, Absence Claims Management

    Guardian Life (Columbus, OH)
    …to submit process improvement ideas to revise workflows and procedures. + Support claims initiatives by encouraging/providing relevant feedback and acting as ... The **Team Leader, Absence Claims Management** is responsible for leading a team...challenge changes with positivity. Own messaging and decision making. Lead team through ambiguity. Problem Solving - Be creative… more
    Guardian Life (11/08/24)
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  • Financial Analysis Lead , Group Insurance

    Guardian Life (New York, NY)
    In the role of **Financial Analysis Lead ** , you will report to the Head of Planning and Expense Consolidation, Group Benefits and play a pivotal role in helping ... support all financial aspects of revenue planning within the...Benefits business. You will collaborate with Finance, Actuarial, Commercial, Claims , Underwriting and Operations partners to model and predict… more
    Guardian Life (11/09/24)
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  • Electronic Data Specialist

    HCA Healthcare (Nashville, TN)
    …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance.… more
    HCA Healthcare (11/16/24)
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  • Research Analyst GME WFH

    HCA Healthcare (Nashville, TN)
    …Summary and Qualifications** + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming ... data transfer methods, and electronic health record and health care claims standards and/or analytical techniques used in research programs. + Developing… more
    HCA Healthcare (10/26/24)
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  • Authorization & Billing Specialists

    Ophthalmic Consultants of Boston (Plymouth, MA)
    …outstanding patient balances to identify the need for connecting patients with copay support services. . Registers commercially insured patients with ... supporting documentation as needed for upcoming appointments with sufficient lead time so that PA can be obtained prior...manufacturer copay support services . Registers Medicare and… more
    Ophthalmic Consultants of Boston (11/15/24)
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  • Director of Patient Safety

    HCA Healthcare (Fort Worth, TX)
    …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...of safety survey results such that data-driven action plans lead to targeted outcomes. **Patient Safety Education:** + Include… more
    HCA Healthcare (11/05/24)
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  • Senior Compliance Analyst

    Guardian Life (Pittsfield, MA)
    …Team? This role will be primarily responsible for providing regulatory compliance support and monitoring of the Guardian Group Benefits Product, Claims ... and State Filing areas, with significant and specialized focus on support and oversight of Guardian's Absence Management and Paid Family and Medical Leave services,… more
    Guardian Life (08/23/24)
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  • Associate Director, Sales Data Management, Data…

    Gilead Sciences, Inc. (Foster City, CA)
    …high quality commercial data like Sales, Claims , EMR, Specialty Pharmacy (SP), Copay etc. + Lead the intake, staging, and processing of Specialty Pharmacy ... and quality by overseeing commercial data management process and providing cross-functional support on sales data management related projects. With a strategic focus… more
    Gilead Sciences, Inc. (11/08/24)
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  • Director Patient Safety

    HCA Healthcare (Kissimmee, FL)
    …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...of safety survey results such that data-driven action plans lead to targeted outcomes + Include patient safety in… more
    HCA Healthcare (10/19/24)
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  • DBA Developer - WFH

    HCA Healthcare (Campbell, CA)
    …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance.… more
    HCA Healthcare (11/16/24)
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  • Director, Contracting Operations - Job ID:

    Ascendis Pharma (Princeton, NJ)
    …Ascendis' policies around key contract terms. + Implementation and Execution: Lead contract implementation internally with Finance, Legal, IT, and necessary ... to projected accruals. This individual must possess an in-depth knowledge of claims processing, formulary validation processing, and dispute processes, and be able… more
    Ascendis Pharma (11/13/24)
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  • Risk Management Coordinator

    HCA Healthcare (Webster, TX)
    …reports to the Risk Manager + Conducts investigation of incidents that could lead to professional/general liability claims . + Works with patients/families and ... patients deserve? At HCA Houston Healthcare Clear Lake we support our colleagues in their positions. Join our Team...common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage… more
    HCA Healthcare (10/02/24)
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  • Outpatient Coder

    HCA Healthcare (Nashville, TN)
    …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...Communicates coding revisions to the applicable party (eg, CIS, lead , manager, international log) + Completes MOCK abstracts as… more
    HCA Healthcare (11/13/24)
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  • Inpatient Coding Editor

    HCA Healthcare (Nashville, TN)
    …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the… more
    HCA Healthcare (11/13/24)
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  • Insurance Verification Representative - Physicians…

    Surgery Care Affiliates (New Albany, IN)
    …to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates ... an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare... growth and transition to value-based care. + We lead the industry in value-based payment solutions through our… more
    Surgery Care Affiliates (11/13/24)
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  • Insurance Verification Representative/Scheduler…

    Surgery Care Affiliates (Fort Myers, FL)
    …to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates ... an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare... growth and transition to value-based care. + We lead the industry in value-based payment solutions through our… more
    Surgery Care Affiliates (10/18/24)
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  • Consumer Relations Spec

    Covenant Health Inc. (Sevierville, TN)
    …thousands of people recover from disorders and dependencies, and lead healthy, positive and productive lives. Offering both inpatient ... + Psychiatry + Group, individual and family therapy + Care Coordination + Support Groups + Medication management + Assessment and referral services Position Summary:… more
    Covenant Health Inc. (10/02/24)
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  • Pharmacy Technician, Intermediate

    UPMC (Pittsburgh, PA)
    **UPMC Mercy is hiring a Full-Time Pharmacy Technician, Intermediate to support our Pharmacy department!** This position will work rotating shifts primarily during ... skills: + QUALITY IMPROVEMENT: participation in an active role as a lead contributor/developer in department and collaborative quality improvement, assist in data… more
    UPMC (11/01/24)
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