Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a
Description We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. Were experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. Were experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to
City/StateNorfolk, VA Work ShiftFirst (Days) Overview: Sentara Health Plan is hiring a Full-Time Day-shift RN Supervisor. Candidates must reside in Virginia. Assumes responsibility, accountability, and leadership for the daily operations, including coordination of work, quality, and
Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you’d like, where you’ll be supported and inspired bya collaborative community of colleagues around the world, and where
JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves
Job Summary VP, Data & Analytics (Enterprise Insights & Business Intelligence) with enterprise-wide influence across MedEcon, Payment Integrity, Claims, Configuration, UM, Provider, and other core functions. Essential Job Duties Serve as the enterprise leader for Insights
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient
JOB DESCRIPTION Job Summary Provides level II support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists
Molina Healthcare is hiring for Support Center Level III Reps. These roles are remote and will be working PST (Pacific Standard Time Hours) any time between 5am until 430pm. These call center customer service roles will
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists
City/StateRichmond, VA Work ShiftMultiple shifts available Overview: Sentara is hiring a Senior Business System Analyst! This position is fully remote. Work Location: Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas,
URGENTLY HIRING! MUST HAVE: Grievance & Appeals experience . 100% Remote (CA, AZ, NV or TX) $24/hr | 5-Month Contract . MUST HAVE: 2+ years of Grievance & Appeals experience Healthcare, Health Plan, or Managed Care
Registered Nurse-Quality of Care -The Registered Nurse - Quality of Care main function is to manage internal quality of care referrals and support other quality efforts under Clinical Services and CareOregon Quality Health Outcomes quality initiatives.
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to