- Merck & Co. (Rahway, NJ)
- …science to deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims , consumer data with a strategic/inquisitive mindset and ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionThe Global Senior Director of Medical Affairs (GDMA) for Melanoma coordinates the development of the Global Scientific and Medical Affairs Plans ... Teams. Contributes to Life Cycle Management decisions. In addition, the leads the Medical Affairs input into the Value and Evidence Plan (V&I) spanning outcomes… more
- Merck & Co. (North Wales, PA)
- …as a deep technical understanding of Life Sciences data sets (eg, claims , electronic health records) and advanced modeling approaches. Using this expertise, this ... orchestration engines.Proven experience with Life Sciences data sets-such as claims data, electronic health records (EHRs), and prescription data.Strong expertise… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... to the health economics and outcomes research strategies, and timelines with medical affairs, marketing, managed markets and global value and access teams. Projects… more
- Eisai, Inc (Atlanta, GA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... place.Collaborate with regional leaders and cross-functional teams (eg, Market Access, Medical , HEOR, Marketing) to understand and address account needs through… more
- Eisai, Inc (Pittsburgh, PA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
- International Medical Group (Indianapolis, IN)
- …hospital, and other insurance companies; initiating or conducting investigation of questionable claims . + Documents medical claims actions by completing ... by following core values. QUALIFICATIONS + At least 1 year of prior medical claims processing experience OR willing to consider at least 2 years of experience… more
- Providence (CA)
- **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are ... we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** ** Medical Claims Account Manager** **Reports To:** CFO **FLSA Status:** Exempt **Job Type:** Permanent / Full-Time **Schedule:** Monday - Friday, ... 9:30 AM - 6:00 PM **Location:** Glastonbury, CT 06033 **Summary** The Medical Claims Account Manager is responsible for delivering high-quality client service… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate ** Medical Claims Processor / Medical Claims Specialist** to… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines....guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- Kemper (Birmingham, AL)
- …contract and in accordance with the damages presented. **Position Responsibilities:** + Medical Claims Handling: Identify involved parties eligible for coverage, ... analyze medical bill, lost wage and other expense claims submitted for payment using a consistent and thorough review process. + Establish accurate loss, and… more
- Insight Global (Somerset, NJ)
- Job Description Insight Global is looking for a Medical Claims Biller for one of our healthcare clients in Somerset, NJ. The candidate will oversee calculating ... the specific healthcare service provided. They must have experience following medical claims and updating patient data. The candidate should also understand and… more
- Atrius Health (Chelmsford, MA)
- …meaning behind*Caring. Connecting. Growing together.* *SUMMARY* *This position is looking for a Medical Claims Representative to join the Self Pay team at our ... rules, or regulations./ #IND1 **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Medical Claims Rep - Self-Pay Representative- Sign-on… more
- Trinity Health (Davenport, IA)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... customer service activities or an equivalent combination of education and experience. Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare, Medicaid, Social Security Disability, Champus, Supplemental… more
- Robert Half Accountemps (Tucson, AZ)
- …Claims specialist near downtown Tucson! You will be tasked with managing medical claims and ensuring accurate billing and collections. This position requires ... systems, knowledge of EHR systems, and EOB. Responsibilities: * Handle medical claims with precision and ensure timely processing * Utilize accounting software… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Robert Half Accountemps (St. Louis, MO)
- …to discuss this exciting opportunity with you. Requirements * Proven experience in medical insurance claims processing. * Strong knowledge of insurance claim ... Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team. Opportunity Overview: We are in… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse|Review Medical Malpractice Claims for NYS (6402) Occupational Category Legal Salary Grade NS ... application online at ag.ny.gov/job-postings/otherOpportunity for Registered Nurses or Licensed PhysiciansThe Medical Malpractice Unit of the Claims Bureau in… more
