- HCA Healthcare (Asheville, NC)
- …worth of each individual is recognized. Submit your application for the opportunity below: PACE Health Plan Compliance Analyst at CarePartners **Benefits** ... benefits may vary by location._** We are seeking a PACE Health Plan Compliance Analyst...Manager and Third-Party Administrator to maintain compliance with the claims processing and authorization processes + Works with TPA,… 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
- AON (New York, NY)
- Aon is looking for a Property Claims Advocate. Are you ready to take on a new challenge and work with the best Risk Management Professionals in the business? Then ... our Aon Global Risk Solutions Property Risk Control and Claims Practice Group. Aon is in the business of...+ Ability to prioritize tasks and perform in a high- pace environment. + Strong attention to detail + Ability… 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 ... TEKsystems is looking to hire several Mechanical Claims Analysts for a large 3rd party automotive...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… 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 ... larger JM Family Enterprises Inc., is seeking a Mechanical Claims Specialist to join our expanding customer contact team....to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- WelbeHealth (Los Angeles, CA)
- …its rapid pace of growth. **Essential Job Duties:** + Oversee health plan operations including strategy, execution, performance and compliance of all ... of the PACE model and implications for health plan operations in the PACE...four (4) core HPS teams - network, provider partnerships, claims processing and eligibility & reconciliation + Demonstrated ability… 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
- 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
- Commonwealth of Pennsylvania (PA)
- …Living Independence for the Elderly (LIFE) Program, which is nationally recognized as PACE . This position offers a unique opportunity to make a significant impact on ... working relationship with CMS in joint oversight of PA's PACE program. Interested in learning more? Additional details regarding...value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health … 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
- AON (Bannockburn, IL)
- …and resolve accounting issues and billing discrepancies, documenting claims , processing endorsements, reviewing expirations, appraisals, and completing other ... strong Excel skills to import/export data + Successfully operations in a fast- pace output driven environment that requires staff members to multi-task, react… 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...completeness of annual site settlement reports. Interfaces between the Plan 's Finance department and individual sites for budget, financial… 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
- Intellatriage (Brentwood, TN)
- …who will oversee a centralized team providing case management and triage services for PACE , Hospice, and Home Health patients. This role is responsible for ... and providers; ensure timely upload into EMR. . Handle claims status inquiries and route appropriately. . Field new...contact. Requirements Qualifications . Minimum 3 years in home health , PACE , or geriatric care . Prior… more
- Comcast (Philadelphia, PA)
- …of actual plan payments with actuarial forecasts. + Partners with health plans consultants and Comcast's Data Services team to perform detailed claims ... experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses...of Global Benefits is responsible for designing and implementing health care programs and strategies with the goal of… more
- Comcast (Houston, TX)
- …entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities ... and disciplines. We are at the forefront of change and move at an amazing pace , thanks to our remarkable people, who bring cutting-edge products and services to life… more
- The Cigna Group (Sacramento, CA)
- …corporate, customer, product, and business initiatives. + Supports corporate Strategic Business Plan + Participates in national teams and committees, as needed. + ... Communicates with all levels of staff within Health Facilitation Centers, Home Office departments; externally with customers, medical providers, vendors, claims … more