- Molina Healthcare (Albuquerque, NM)
- …* Serves as the Senior Plan leader and liaison for MHI Service Operations , including: Claims , Configuration Information Management, Enrollment, Contact Center ... local Data /Business Analysts to audit provider contract loads and claims payments to ensure compliance with provider contract requirements. * May directly… more
- Geisinger (Danville, PA)
- …Create an environment to foster high-quality, efficient, and accessible statistical analysis, data visualization, and advanced analytic support and operations . + ... Health Plan and Population Health Leadership, Business Intelligence Advanced Analytics, Data Management, and Data Governance leadership teams to oversee… more
- HCA Healthcare (Nashville, TN)
- …in the broker and vendor selection process. + Assist the VP Insurance, AVP Insurance and Manager/Director of Property Claims with other responsibilities as ... organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare, you come first. HCA...loss mitigation. + Assist with providing accurate and timely data enhancement on the property database with our broker… more
- UNUM (Chattanooga, TN)
- …direct reports responsible for a team of employees that handle management of claims in a multi-disciplined environment. Direct reports will be responsible for a ... issues, digital transformation efforts, product design consultation, procedure enhancements, operations implementation, and people leadership. This individual is accountable… more
- HCA Healthcare (Nashville, TN)
- …our team. **Job Summary and Qualifications** At the direction of the RVP of Operations : Collaborate with IRC, Case Management / URS, Parallon, PCA, Legal and other ... resolution and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of...of payer contracts, policies and HCA's internal tools and data bases and the ability to think strategically and… more
- HCA Healthcare (Nashville, TN)
- …with market Decision Support Teams, PPR and others on an occasional basis (eg claims data , demographics data , projection methodology, analytical mapping) + ... Summary and Qualifications** Under the general supervision of the AVP , Analytics and Insights and the VP, Analytics and...analyses + Innovate and design effective ways to use data in order to help the Company achieve its… more
- Aveanna (East Norriton, PA)
- …responsible for the administrative and leadership functions associated with all operations of an Aveanna branch. Additionally, the Executive Director is responsible ... and reports to the Governing Body, also reporting to Area Vice President, AVP , and/or Area Director, AD. Essential Job Functions Team Management: * Assure evaluation… more
- Aveanna (Franklin, TN)
- …responsible for the administrative and leadership functions associated with all operations of an Aveanna branch. Additionally, the Executive Director is responsible ... and reports to the Governing Body, also reporting to Area Vice President, AVP , and/or Area Director, AD. Essential Job Functions Team Management: * Assure evaluation… more
- Navient (Kailua Kona, HI)
- …and bi-weekly. + Completion of random reports/tasks needed by Project Manager/Director/ AVP MINMIMUM REQUIREMENTS: + High school diploma + Previous Management ... QUALIFICATIONS: + An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers. + Experience with… more