- Carrington (Providence, RI)
- **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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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
- Trustmark (Providence, RI)
- …benefits products (ie sales, implementation, enrollment, underwriting, billing, servicing, and claims ) using various methods such as DMAIC, PDCA, etc. Develop the ... 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
- Marriott (Providence, RI)
- …as injured worker advocate assisting them to set goals and participate in their care . + Recommend referral to Associate Resource Line as needed. + Coordinate ... **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action...jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health… more
- BrightSpring Health Services (Taunton, MA)
- …PharMerica Overview Our Point of Sale Adjudicators are crucial to our 3rd Part Claims activities and our business. This is an excellent opportunity to move from a ... pharmacy to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of… more
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Humana (Providence, RI)
- …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
- Highmark Health (Providence, RI)
- …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 (Providence, RI)
- …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