- Eliassen Group (Jefferson City, MO)
- ** Claims Engineer ** **Anywhere** **Type:** Contract **Category:** Engineer **Industry:** Healthcare **Workplace Type:** Remote **Reference ID:** JN ... + Recommended Jobs **Description:** We are seeking a skilled and detail-oriented Claims Engineer to join our team. The successful candidate will be responsible… more
- CVS Health (Jefferson City, MO)
- …it all with heart, each and every day. **Position Summary** As a Software Engineer at CVS Health, you'll play a crucial role in building and delivering high-quality ... vendors. We are seeking a highly skilled and experienced Engineer to join our Commercial Claim Adjudication team. As...of work experience. + **5+ years of experience with Claims in software development** , collaborating with various stakeholders… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **Job Description** We're looking for a Principal Software Engineer to join our growing team and lead the development and strategy for our Digital Medicine ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Humana (Jefferson City, MO)
- …(PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business and System ... expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily responsible for maintenance and support of… more
- Humana (Jefferson City, MO)
- …caring community and help us put health first** The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and ... sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the… more
- EFI Global (Jefferson City, MO)
- …Click here to learn more about EFI Global. **Are you a seasoned Structural Engineer with a passion for uncovering the root causes of structural failures and a ... assessments, building envelope investigations, and evaluating structural collapses. A Professional Engineer (PE) license in your state of residence is required. If… more
- Humana (Jefferson City, MO)
- …health first** **Requires a strong foundation in COBOL mainframe development ** The Claims Adjudication System (CAS) team at Humana is essential in delivering core ... services through effective claims processing and management solutions. This position involves coding software applications based on business requirements and… more
- Evolent (Jefferson City, MO)
- …**Preferred Qualifications** + Healthcare industry experience with exposure to authorisations/ claims /eligibility and patient clinical data + Experience with Python, ... Spark, or Databricks for data engineering or transformation. + Familiarity with DevOps/GitRepo for BI, including deployment automation and CI/CD in Azure DevOps. + Understanding of data governance, security models, and compliance. + Experience with semantic… more
- EFI Global (Jefferson City, MO)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... services.** **Collaborates with EFI's national team of forensic experts to leverage experiences and assist on projects.** **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** **Performs other duties as assigned.** **Supports the organization's quality program(s).**… more