- Lincoln Financial Group (Jefferson City, MO)
- …**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
- Zurich NA (Jefferson City, MO)
- …with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP Claims + RCIS Crop Adjuster ... RCIS Crop Claims Field Adjuster or Specialist - Southwest MO...Office Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- ASSOCIATE … more
- Carrington (Jefferson City, MO)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... department projects from start to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims Recovery & Analysis… more
- Trustmark (Jefferson City, MO)
- …to work on-site at our office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.* We are seeking a detail-oriented and analytical ... to join our team, specializing in the Voluntary Benefits Claims area. The individual in this role: Serves as...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
- Guardian Life (Jefferson City, MO)
- …new absences for members as well as answering questions about current benefits and claims . At Guardian we foster a team culture where 'People Count," "We Do the ... High Standards". If this sounds like you, Guardian is seeking a Customer Care Representative to join our Member/Provider. Customer Response Unit. **You are:** A… more
- Trustmark (Jefferson City, MO)
- …knowledge of voluntary administration including premium billing & administration, eligibility, claims and payroll deduction and service model + Proven ability to ... office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.*_** Brand: Trustmark...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
- Centene Corporation (St. Louis, MO)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and ... outcomes. Reports critical incidents and information regarding quality of care issues. + Communicates with external data sources as...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Humana (Jefferson City, MO)
- …first** Humana's Behavioral Economics Team is seeking a Research Scientist ( Remote ) to support our work developing measurement strategies across the enterprise. ... rigorous test & learn approaches to answer high-priority business questions. **Location:** remote In this multi-disciplinary team, you will have the opportunity to… more
- Humana (Jefferson City, MO)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... qualitative data analysis + Analyzes and forecasts financial data, medical and pharmacy claims data, and other data to provide accurate and timely information for… more
- Humana (Jefferson City, MO)
- …health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work various tasks or ... process between Humana and CMS and Duals Medicaid using data analysis, claims research, and other resources to provide insight. Encounter Data Management… more
- Humana (Jefferson City, MO)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... depth of knowledge of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana Offers** We are… more
- Humana (Jefferson City, MO)
- …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... Information** **This position will be required to work EST Hours.** Work at Home/ Remote Requirements To ensure Home or Hybrid Home/Office employees' ability to work… more
- Highmark Health (Jefferson City, MO)
- …risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, ... Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart acquisition is complete and documentation is… more
- Humana (Jefferson City, MO)
- …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
- Humana (Springfield, MO)
- …volumes of data + Good understanding of healthcare data eg, member, provider, claims and clinical data + Experience and understanding of data governance practices ... **Location/Work Style:** Hybrid Office in Louisville, KY is preferred but open to Remote US as well **Why Humana?** At Humana, we know your well-being is… more