- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- …paychecks Health , dental, vision, and life insurance 401(k) savings plan Awards and recognition programs Benefit eligibility is dependent on employment status. ... its employees, explore our current job opportunities below. Job Title: Claims Resolution Specialist Department(s): Customer Service Reports to: Supervisor Customer… more
- Fallon Health (Buffalo, NY)
- …Fallon Health Weinberg offers a Program of All Inclusive Care for the Elderly ( PACE ) to serve the health needs of dual-eligible residents of the Western New ... Overview About us: Fallon Health Weinberg is a partnership between Fallon ...Service Quality Meeting quarterly and works with leadership and PACE sites to plan interventions and improvement… more
- Providence Health & Services (Portland, OR)
- …reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan ... Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental,… more
- Providence Health & Services (Anaheim, CA)
- … health care or pharmacy billing, collections or medical claims processing. Preferred qualifications: Bachelor's Degree in Business, Healthcare Administration or ... Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental,… more
- UnitedHealth Group (Belleville, NJ)
- …which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a ... share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.… more
- Michael Page (Newark, OH)
- …and a leadership team that have all been promoted through the ranks at a rapid pace dictated solely by their performance. This GC is proof that you get exactly what ... to site. Review, respond, and resolve subcontractor schedule impacts and or claims of productivity impacts. Manage and make decisions related to the performance… more
- Trinity Health (Livonia, MI)
- …reimbursement rules and CMS-1500 & UB-04 claims preferred. + Previous experience with PACE Health Plan Operation, preferred. + A combination of education ... Type:** Full time **Shift:** **Description:** ** Claims Analyst** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time… more
- TEKsystems (Earth City, MO)
- …and process mechanical claims . This opportunity offers a refreshing change of pace , allowing you to work in the comfort of a modern workspace, while enjoying ... claims . This opportunity offers a refreshing change of pace , allowing you to work in the comfort of...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- TEKsystems (Earth City, MO)
- …expertise in a professional setting, helping customers and dealerships navigate vehicle repair claims . As a Mechanical Claims Analyst, you'll use your knowledge ... of engines, transmissions, and electrical systems to evaluate mechanical claims , communicate with customers and repair facilities, and ensure...claim resolutions. This role offers a refreshing change of pace , a hybrid work schedule, and a path to… more
- Fallon Health (Buffalo, NY)
- …Fallon Health Weinberg offers a Program of All Inclusive Care for the Elderly ( PACE ) to serve the health needs of dual-eligible residents of the Western New ... **Overview** **About us:** Fallon Health Weinberg is a partnership between Fallon ...Service Quality Meeting quarterly and works with leadership and PACE sites to plan interventions and improvement… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …a passionate, results-oriented Business Analyst in the healthcare payer domain with Health Plan administration experience of self-funded clients who excels in ... in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration. + Healthcare industry knowledge + Familiar with… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan Administration (Benefits & Claims Administration, Vendor ... Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client… more
- Fallon Health (Worcester, MA)
- …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE - in the region. ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...ElderCare(R) is a Program of All-Inclusive Care for the Elderly- PACE for short. PACE , an alternative to… more
- Deloitte (Carson City, NV)
- …studies + Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate negotiation, and analyzing ... functions with AI and emerging technology. With the rapid pace of change in today's world, you will help...+ Prepare financial projections and rate development + Review health plan performance, including reviewing policy year… more
- Dignity Health (Bakersfield, CA)
- …class analytics, performance insights and routine reporting to support delivery of population health services. Serving as a member of the population health ... 11. Engage with and develop end to end analytic solutions around population health , value based agreements and capitation. 12. Lead the team through design,… more
- Deloitte (Fresno, CA)
- …performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + Act as an extension of the ... functions with AI and emerging technology. With the rapid pace of change in today's world, you will help...you'll do + Prepare self-insured financial projections and support health plan management, including financial reporting, premium… more
- East Boston Neighborhood Health Center (East Boston, MA)
- Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the ... greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether...the end of each shift to avoid delay in claims being processed. Alerts supervisor of any issues with… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! Everywhere you turn, you can feel the immeasurable level of ... at NeighborHealth! We are one of the largest community health centers in the country, supporting the greater Boston...factors. Serves as an expert consultant and/or supervisor to PACE providers (Program of All-Inclusive Care of the Elderly)… more
- Fallon Health (Worcester, MA)
- …inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...and outreach initiatives as appropriate **Training/Education of Providers** + Plan , organize and conduct educational training seminars for assigned… more
- Defense Health Agency (Oceanside, CA)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... area that continues to grow at a very rapid pace . Camp Pendleton area is so large that it...student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information,… more
