- Carrington (Little Rock, AR)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Carrington (Little Rock, AR)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... and changing priorities. **What you'll need:** + High School diploma required; Associate /Bachelor Degree in accounting or other related field preferred. + Two (2)… more
- Prime Therapeutics (Little Rock, AR)
- …our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim Analyst is ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- Evolent (Little Rock, AR)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Travelers Insurance Company (Little Rock, AR)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Prime Therapeutics (Little Rock, AR)
- …our passion and drives every decision we make. **Job Posting Title** Associate Health Informatics Analyst **Job Description** Design, document, develop and roll out ... **Responsibilities** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Walgreens (Little Rock, AR)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Cherry Bekaert (Little Rock, AR)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... our clients in the insurance, service and related industries. The Sr. Associate will also assist in an administrative project management capacity, spearheading… more
- Walmart (Little Rock, AR)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Highmark Health (Little Rock, AR)
- …opportunities aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes and quality of care received, and optimal ... member/patient and provider experiences with care delivery. A key responsibility is developing methodologies to identify impactable cohorts for cost savings… more
- Walmart (Little Rock, AR)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Highmark Health (Little Rock, AR)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Humana (Little Rock, AR)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Humana (Little Rock, AR)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more
- Otsuka America Pharmaceutical Inc. (Little Rock, AR)
- …Specialty Medicine products at different stages of development for a global health- care market. The specific duties assigned to the Director, Global Clinical ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Little Rock, AR)
- …Specialty Medicine products at different stages of development for a global health- care market. The duties assigned to the Director, Global Clinical Development ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director is typically...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Little Rock, AR)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5 years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Humana (Little Rock, AR)
- …and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and ... operational efficiencies + Collaborates with upstream business partners such as Claims , Clinical Guidance, and the Provider Network to identify opportunities and… more
- Evolent (Little Rock, AR)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...development efforts. **What You Will Be Doing:** + Analyze claims and authorization data to identify trends, calculate cost… more
- Humana (Little Rock, AR)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more