- Merck & Co. (Rahway, NJ)
- …a variety of formats with minimal requirementsProgramming expertise with electronic healthcare databases (electronic medical records and insurance claims ); ... programming languages including SAS and R to efficiently manipulate electronic healthcare databases to discover disease prevalence and risk factors, describe drug… more
- Formation Bio (New York, NY)
- …and scientific use cases.This position sits at the intersection of healthcare data engineering, modern data platform infrastructure, and generative AI. While ... data tooling. You'll play a key role in shaping how healthcare data becomes discoverable, structured, and impactful across the organization.Responsibilities Model… more
- Bayer (Whippany, NJ)
- …industry; In-depth knowledge of US Market Access landscape and US Healthcare environment across multiple segments and brands pertaining to Bayer’s pharmaceutical ... of relevant pharmaceutical data sources including sales data sources such as sales/ claims (eg, IQVIA, Symphony), access (eg, DRG, MMIT), Patient Services data,… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... candidate should have a good working knowledge of the range of healthcare reimbursement systems and reimbursement guidelines.This position is ideal for a candidate… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... the PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Lundbeck (Dallas, TX)
- …Sales, Market Access, Trade, and Marketing Identify customer, program and/or healthcare industry trends and escalate appropriately Leverage expertise and skills to ... access and reimbursement, account management or relevant roles Experience in claims reimbursement, including billing and coding; managed care coverage processes and… more
- Eisai, Inc (Cincinnati, OH)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Aveanna Healthcare (Madison, WI)
- …internal billing, collections, and revenue cycle processes to ensure clean claims and financial efficiency. Qualifications Minimum 3 years of operational leadership ... experience in Home Health, Hospice, or related healthcare settings. Strong understanding of federal and state regulatory requirements for home health agencies.… more
- WALGREENS (Duluth, MN)
- …Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading ... medication usage, side effects, and cost-effective options Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working… more
- CenterWell (Atlanta, GA)
- …organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and ... organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do:** The **Credit Balance Specialist** **(Physician Claims )** will manage credit balance workloads and respond and follow-up on external ... lieu of diploma / GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working knowledge can be of… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Requirements:** + 3 year(s) hands-on experience in ** Healthcare Claims Processing** + **In-depth, hands-on, practiced experience ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client....Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Dignity Health (Bakersfield, CA)
- …responsible for the detailed and accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims ... procedures. **Job Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2 years in a senior or… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Cedars-Sinai (Los Angeles, CA)
- …with the ANSI X12 837 format used for electronic submission of professional healthcare claims . Understanding of the key segments, including: + ISA/GS/GE/ST ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more
- NTT DATA North America (Plano, TX)
- …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in ** Healthcare Claims Processing** + **Previously performing - in P&Q ... overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- CVS Health (Franklin, TN)
- …experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three ... customer experience. **Education** + Bachelor's Degree and/or equivalent work experience in claims training and/or claims knowledge/ healthcare training… more
