- Cambia Health Solutions, Inc (Portland, OR)
- …of OR, WA, ID and UT Primary Job PurposeThe Provider Contract Management Specialist (PCMS) is responsible for support to ensure accurate development and execution of ... the contract database (eg Care Management, Audit teams).The Provider Contract Management Specialist Senior (PCMSS) is more experienced and highly proficient in the… more
- Blanchard Valley Hospital (Findlay, OH)
- …quarterly internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist . Provide feedback and documented education to the ... the provider. Communicate with electronic health record (EHR) Trainers, Superuser or Analyst to explore potential options to improve quality and ease of provider… more
- Allegion (Carmel, IN)
- …updated as needed. Carriers may ask for additional information or documents and the claims specialist will be responsible for completing those requests + Work ... of leadership and call-out opportunities to more successfully file claims + Cross-train on various Logistics Analyst ...file claims + Cross-train on various Logistics Analyst job tasks to serve as primary backup. These… more
- Montrose Memorial Hospital (Montrose, CO)
- …(American Association of Hospital Administrative Management) CRCS (Certified Revenue Cycle Specialist ) preferred. + 2 years hospital PFS department experience with a ... broad knowledge of hospital billing, collections and payment application for Medicare, Medicaid and Commercial insurances + Ability to effectively communicate, verbally, and non-verbally, in a clear, concise manner, both orally and in writing. What We Offer: +… more
- ManpowerGroup (Richmond, VA)
- **Title:** **IT Systems Analyst Specialist Sr** **Location:** **Remote** **Duration: 9+ months** **Pay rate: $50/hr (On W2)** We are looking for a " **IT Systems ... Analyst Specialist Sr** "to join one of...combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. **Job… more
- State of Massachusetts (MA)
- …able to work, available for work and looking for a job. The Program Data Analyst and Fraud Investigation Specialist will oversee and manage staff associated with ... Services* **Organization:** **Department of Workforce Development* **Title:** *Program Data Analyst & Fraud Investigation Specialist * **Location:** *Massachusetts-CPC… more
- Sedgwick (Memphis, TN)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Systems Billing Analyst Specialist **PRIMARY PURPOSE** : The IT billing analyst ... combination of education and experience required. Experience in multi-line claims management processes and system requirements preferred. **Skills & Knowledge**… more
- Defense Logistics Agency (Lorton, VA)
- …Conditions of Employment Qualifications To qualify for a Supervisory Contract Specialist (Procurement Analyst ), your resume and supporting documentation must ... system changes or other process improvements. Serves as lead specialist over procurement process issues and problems of particularly...experience in support EBS end users. Serves as expert analyst and adviser to the process owner and other… more
- Houston Methodist (Katy, TX)
- …**. (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central ... events as well as the accountability of ensuring completion with corrected claims , and/or data extraction in preparation of audits. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- CVS Health (Albany, NY)
- …and care plans that address problems, goals and interventions. + Based on assessments and claims data creates a care plan for members to follow + Participate as a ... member of the Care Team during Interdisciplinary Team meetings to discuss the member's health care needs, barriers to care and explore better outcomes for the member + Identify and link members with health plan benefits and community resources Perform… more
- CVS Health (Harrisburg, PA)
- …and care plans that address problems, goals and interventions. + Based on assessments and claims data creates a care plan for members to follow + Participate as a ... member of the Care Team during Interdisciplinary Team meetings to discuss the member's health care needs, barriers to care and explore better outcomes for the member + Identify and link members with health plan benefits and community resources Perform… more
- Kuehne+Nagel (Haltom City, TX)
- …the daily activities of inventory control, cycle counting, inventory-related claims management, and related accounts administration. Initially, your schedule will ... be Monday - Friday from 8:00 am - 4:30 pm, and then will later transition to Monday - Thursday, 4:00 am - 2:30 pm once the site becomes fully operational. The wage is $26.65 per hour. **Your Responsibilities** + You will manage the inventory accuracy to ensure… more
- Allied Solutions (Plano, TX)
- …applicability of insurance coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
- Federal Highway Administration (Lakewood, CO)
- …aspects of highway design and construction, and experience resolving contractor claims and requests for equitable adjustments. Responsibilities As a Civil Engineer ... (Highway - Claims Engineer), you will: Provide contract administration advice to...contract administration advice to the Construction Branch, Supervisory Procurement Analyst and Acquisitions and Contract Branch Chief. Provide engineering… more
- Evertec Group, LLC (PR)
- …and technological solutions for businesses. Are you ready to shine? As an Analyst ( Claims and Financial Support Specialist ) responsibilities will be: ... Analyst Operations & Technology Puerto Rico...the chances of losses for the institutions. *Supports daily claims referral to processors. *Supports accounting and monthly billing… more
- VHC Health (Arlington, VA)
- …with IT systems and systems development projects, five years as a systems analyst , applications specialist or equivalent.* Three plus years of hands-on ... Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This...with Epic Resolute Billing in a real-time environment with Claims as they relate to the Resolute Module. Demonstrated… more
- UIC Government Services and the Bowhead Family of Companies (Pearl Harbor, HI)
- **Overview** Geographic Information System Analyst (SIOP-2024-19928): Bowhead is seeking a Geographic Information System (GIS) Analyst to provide geospatial ... and carrying of computer equipment and supplies. Work Environment: + The GIS Specialist will work in an office environment, with occasional travel to field sites… more
- City of Lakeland (Lakeland, FL)
- HR Analyst - Policy and Employee/Labor Relations Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4429048) Apply HR Analyst - Policy and ... Reviews compliance of some pay related policies. + Oversees unemployment compensation claims processing and represents the City of Lakeland in unemployment claims… more
- Robert Half Technology (Boston, MA)
- …insurance servicing system and Freddie Mac's Total MI API for mortgage insurance claims processing. The analyst will need to coordinate with MIF stakeholders, ... * What project will they be working on: "The analyst will be working on a project for our...team, internal IT team, couple of PMs, a BI specialist in homeownership (in the case we need more… more
- Air National Guard Units (Westhampton Beach, NY)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGEMENT ANALYST , Position Description Number D2513P01 and is part of the 106TH RQW, ... POTENTIAL TO CONVERT TO PERMANENT. Responsibilities As a Financial Mangement Analyst , GS-0501-11, you will plan, coordinate, and perform comprehensive Accounting and… more
