• Lead Claims & Encounters Liaison

    Centene Corporation (Austin, TX)
    …contract implementation on system issues and provider education **Education/Experience:** Associate 's degree in Business Administration, Health Care ... Corporate team, you will identify, analyze, and resolve provider claims and encounter submission issues with the Medicaid In...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (06/07/24)
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  • Call Center and Claims Representative

    Humana (Austin, TX)
    …adherence to quality and performance standards. + Provides program, benefit, eligibility, claims information and describes Humana/ _i_ Care services to members ... health first** Humana/iCare is seeking a Call Center and Claims Representative 2 to meet the needs of members,...for the customer service representatives, and to assist in care coordination by working with iCare staff, and perform… more
    Humana (06/13/24)
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  • Operations Analyst III - Claims

    Trustmark (Austin, TX)
    …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 Success Manager ( Remote )

    Trustmark (Austin, TX)
    …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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  • Associate Director, Global Labeling Lead

    Takeda Pharmaceuticals (Austin, TX)
    …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
    Takeda Pharmaceuticals (06/13/24)
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  • Clinical Bill Review and Treatment Plan Team…

    Zurich NA (Austin, TX)
    …Develop and implement process improvements to enhance efficiency + Collaborate with Technical Claims teams to integrate managed care functions into the clinical ... AM - Remote Work (US) Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- ASSOCIATE #LI- REMOTE more
    Zurich NA (06/12/24)
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  • Financial Analyst (Actuarial Focus)

    Humana (Austin, TX)
    …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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  • CCM Compliance Professional 2

    Humana (Austin, TX)
    …Qualifications** + Healthcare industry experience + Claims /Encounters experience + Claims Cost Management experience + Associate 's or Bachelor's Degree ... to all impacted business areas. These alerts relate to claims payments and provider contracting. The CCM CP2 also...**What Humana Offers** Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
    Humana (06/11/24)
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  • Code Edit Disputes Team Medical Coding Coordinator

    Humana (Austin, TX)
    …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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  • Case Manager RN

    CVS Health (Austin, TX)
    …Transplant experience - 2+ years' experience in critical care - Managed Care experience Education: Associate Degree required BSN preferred Pay Range The ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...National Medical Excellence (NME) team and is a fully remote position. Candidates from any state are welcome to… more
    CVS Health (06/05/24)
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  • Insurance Resolution Specialist

    Ally (Austin, TX)
    **General information** **Ref #** 17745 ** Remote ?** No **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... 3 things we're looking for: experience with working insurance claims , able to follow up with documents needed and...proactively collaborate with vendors and other Ally departments. * Associate 's degree preferred, or 3 years of experience. *… more
    Ally (06/12/24)
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  • Market Finance Lead - New York, NY

    Humana (Austin, TX)
    …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... Information** **This position will be required to work EST Hours.** Work at Home/ Remote Requirements To ensure Home or Hybrid Home/Office employees' ability to work… more
    Humana (06/04/24)
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  • Senior Disability Underwriter

    Humana (Austin, TX)
    …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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