- Lincoln Financial Group (Bismarck, ND)
- …**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
- Humana (Bismarck, ND)
- …to drive improvements in quality and/or reductions in total cost of care + Scorecard creation and reconciliation of provider performance based on contractual ... Qualifications:** + Bachelor's Degree + 3-5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care +… more
- Marriott (Bismarck, ND)
- …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
- Humana (Bismarck, ND)
- …provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates ... **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 (Bismarck, ND)
- …Clinical Strategy and Analytics (CS&A) Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often with ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Bismarck, ND)
- …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
- Humana (Bismarck, ND)
- …first** Humana's Clinical Analytics Team is seeking a Senior Research Scientist ( Remote ). Our team identifies opportunities and builds solutions to improve clinical ... improvement for our members. + Develop models and/or rules using clinical condition in claims data, membership data, or other data sources in order to target at-risk… more
- Humana (Bismarck, ND)
- …of our caring community and help us put health first** Full-Time Remote , Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes ... Assess discharge plans + Review and extract information from claims + Complete documentation for Quality Reviews for Peer...to make an impact** **Required Qualifications** + Minimum of Associate 's Degree in Nursing + Registered nurse with active… more
- Humana (Bismarck, ND)
- …across the department. **Use your skills to make an impact** **WORK STYLE:** Remote /work at home with up to 15% travel possible **WORK HOURS:** Core business ... Bachelor's Degree in health or business related field + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC… more