• EDI Claims Support

    The Cigna Group (Bloomfield, CT)
    …a line of business within The Cigna Group is hiring an EDI - Claims Support Senior Analyst. For this highly specialized, Electronic Data Exchange ... troubleshooting new and existing direct submitters + Respond to internal and external EDI Claims Support related inquiries + Assists in providing support more
    The Cigna Group (10/04/24)
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  • Senior Software Engineer (C#, Azure…

    Commonwealth Care Alliance (Boston, MA)
    **Why This Role is Important to Us:** The Senior Software Engineer will support , maintain, & develop CCA business applications and integrations. This position ... spanning all systems and functional areas including but not limited to finance, claims , enrollment, and clinical. The Senior Software Engineer works to improve… more
    Commonwealth Care Alliance (09/06/24)
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  • Business Systems Analyst Staff or Senior

    Intermountain Health (Columbus, OH)
    …and products used by several areas of SelectHealth. You will be responsible to support the value stream by having stories groomed and ready for development. The ... projects. Requirements may be specific to healthcare insurance products, enrollment, claims , sales activities or other service-related processes; all in support more
    Intermountain Health (10/04/24)
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  • Senior Manager, Cash Management

    LogixHealth (Bedford, MA)
    Location: On-Site in Bedford, MA This Role: As a Senior Manager in Cash Management at LogixHealth, you will assist and support the Director in managing, ... Outlook + Excellent written and verbal communication skills Preferred: + Knowledge of EDI operations + Knowledge of Visio Benefits at LogixHealth: We offer a… more
    LogixHealth (10/06/24)
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  • Enterprise Shared Services Program Manager II

    LA Care Health Plan (Los Angeles, CA)
    …Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... Shares Services and is a subject matter expert in EDI and Claims transactions. Works collaboratively with...exchange of claims data managed by the Claims Data & Support Services teams. Functions… more
    LA Care Health Plan (09/11/24)
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  • VP, Network Management & Operations (Florida)

    Molina Healthcare (South Florida, FL)
    …Provider Network Administration area to ensure accuracy of provider information in support of accurate configuration for claims payment. **JOB QUALIFICATIONS** ... Provider Network Management and Operations Department. Works with staff and senior management to develop and implement provider contracting and service strategies… more
    Molina Healthcare (10/03/24)
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  • Lead Business Analyst (Encounters)

    Molina Healthcare (Cleveland, OH)
    …other technical programs under the OH Operations Department. These currently include support of provider data requirements, vendor data interfaces, Ohio Dept of ... discussions and love work collaboratively with other teams and with senior leadership. This role involves research, root cause analysis, sharing recommendations,… more
    Molina Healthcare (09/25/24)
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