(Actuarial, Reinsurance, Claims, IT, etc.), including the development of strong and productive relationships with these various... functional areas. Lead and/or participate in projects designed to enhance existing processes or react to emerging changes...
. In this role, you will serve as a member of the Claims Force Team (formerly known as the Quality Assurance). The primary..., Claims Connect & Mobile Claims, Validate, CMS, Mitigate, and other estimating/claim management platforms and software...
on challenging work assignments that lead to professional growth Initiative: Willingly does more than is required or expected in the..., underwriting excellence, superior claims handling expertise and local operations globally. Connect...
needs to complete the number of calls/claims we forecast we will receive. The forecasting team takes the lead by projecting...Description The Workforce Planning group is tasked with determining how many people our Claims & Service organization...
requirements are accurately incorporated into the product, in a timely manner. Work with account managers and technical lead... to understand and document their current process, gaps and needs. Work with technical lead(s) to come up with a solution(s) for the...
(Actuarial, Reinsurance, Claims, IT, etc.), including the development of strong and productive relationships with these various... functional areas. Lead and/or participate in projects designed to enhance existing processes or react to emerging changes...
Responsibilities Lead the exploration, generation, and execution of pioneering concepts across various healthcare.... Utilize internal and external tools to evaluate, document, and validate new ideas, claims, and concept effectiveness...
in key risk management discussions. Participates in and may lead any potential claims issues. Ensures startup planning...) (USD)155/day (7days/week) is available for professionals greater than 50 miles from the site. Lead level position assigned...
and with great detail to support audit reviews. At the direction of their team lead and/or management, works assignments... as prioritized and completes work based on associated timelines, making their team lead and/or management aware of any known...
to lead nationally in innovating equitable whole-person health. At Independence, everyone can feel valued, supported... the people and communities we serve. Responsibilities: Process system credits on refund/returned checks for TPA claims...
teams. Tracks and understands sales and use tax and prepares statutory audit documentation. PRIMARY PURPOSE: To lead the... combination of education and experience required. Experience in multi-line claims management processes and system requirements...
strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk.... Participate/Lead requirements analysis and verification, ensuring that requirement statements are complete, consistent, concise...
, Radiant, Lumens, Wisdom, Bones, Kaleidoscope, Dorothy, Comfort, Research, HB, PB, Claims, SBO, Tapestry, Contracts... as required to ensure integration and alignment of build, process design, and configuration of workflows. Lead / facilitate requirements...
strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk.... Participate/Lead requirements analysis and verification, ensuring that requirement statements are complete, consistent, concise...
together. No industry is moving faster than health care. And no organization is better positioned to lead health care... performance targets for the enterprise. As a subject matter expert, you will interpret and analyze claims and non claims data...
and Broker to effectively administer claims. Establish and lead periodic claim reviews. Arrange/update/customize special... course of action to appropriately manage and settle the claims. Monitor claims consistent with corporate policies...
Job Description: Your Role The Facility Compliance Review team reviews post service prepayment facility claims... Certified Clinical Coder Nurse, Lead/Consultant will report to the Senior Manager, Facility Compliance Review. In this role...
. Responsibilities: May serve as project lead for implementation of products and services. Analyze the performance of the product.... Work with partners in pricing/actuarial or claims to ensure product compliance and financial viability. Prepare contract...
(i.e., patient access, patient accounting, claims clearinghouse, eligibility, etc.). Tasks are performed under the direction of lead..., heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped...
Job (Key responsibilities) · Lead in the advancement of data-driven market access strategies as a strategic partner to Market... and lead communications related to IQVIA and pharmacy-related reporting and support · Perform 340B trend analysis...