• Claims Care Associate

    Lincoln Financial Group (Phoenix, AZ)
    …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
    Lincoln Financial Group (06/08/24)
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  • Sr Claims Recovery & Analysis Analyst

    Carrington (Chandler, AZ)
    **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... department projects from start to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims Recovery & Analysis… more
    Carrington (06/08/24)
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  • Operations Analyst III - Claims

    Trustmark (Phoenix, AZ)
    …to work on-site at our office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.* We are seeking a detail-oriented and analytical ... to join our team, specializing in the Voluntary Benefits Claims area. The individual in this role: Serves as...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
    Trustmark (05/22/24)
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  • Customer Care Associate II

    Guardian Life (Phoenix, AZ)
    …new absences for members as well as answering questions about current benefits and claims . At Guardian we foster a team culture where 'People Count," "We Do the ... High Standards". If this sounds like you, Guardian is seeking a Customer Care Representative to join our Member/Provider. Customer Response Unit. **You are:** A… more
    Guardian Life (06/08/24)
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  • Customer Success Manager ( Remote )

    Trustmark (Phoenix, AZ)
    …knowledge of voluntary administration including premium billing & administration, eligibility, claims and payroll deduction and service model + Proven ability to ... office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.*_** Brand: Trustmark...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
    Trustmark (06/05/24)
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  • Behavioral Economics Research Scientist 2

    Humana (Phoenix, AZ)
    …first** Humana's Behavioral Economics Team is seeking a Research Scientist ( Remote ) to support our work developing measurement strategies across the enterprise. ... rigorous test & learn approaches to answer high-priority business questions. **Location:** remote In this multi-disciplinary team, you will have the opportunity to… more
    Humana (05/30/24)
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  • Financial Analyst (Actuarial Focus)

    Humana (Phoenix, AZ)
    …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... qualitative data analysis + Analyzes and forecasts financial data, medical and pharmacy claims data, and other data to provide accurate and timely information for… more
    Humana (06/04/24)
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  • Encounter Data Management Professional

    Humana (Phoenix, AZ)
    …health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work various tasks or ... process between Humana and CMS and Duals Medicaid using data analysis, claims research, and other resources to provide insight. Encounter Data Management… more
    Humana (06/07/24)
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  • Code Edit Disputes Team Medical Coding Coordinator

    Humana (Phoenix, AZ)
    …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... depth of knowledge of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana Offers** We are… more
    Humana (05/17/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Phoenix, AZ)
    …risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, ... Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart acquisition is complete and documentation is… more
    Highmark Health (05/31/24)
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  • Senior Disability Underwriter

    Humana (Phoenix, AZ)
    …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
    Humana (05/17/24)
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  • Lead Solutions Architect

    Humana (Phoenix, AZ)
    …volumes of data + Good understanding of healthcare data eg, member, provider, claims and clinical data + Experience and understanding of data governance practices ... **Location/Work Style:** Hybrid Office in Louisville, KY is preferred but open to Remote US as well **Why Humana?** At Humana, we know your well-being is… more
    Humana (05/05/24)
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