Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within
When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team
At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
SummaryJoin Guidewire’s Global People Organization, a team dedicated to scaling, shaping, and strengthening the company by building capabilities, culture, and clarity for the future. We drive innovation and operational discipline, leveraging technology and a collaborative, transparent
Overview: Draper is an independent, nonprofit research and development company headquartered in Cambridge, MA. The 2,000+ employees of Draper tackle important national challenges with a promise of delivering successful and usable solutions. From military defense and
SummaryAs a Senior Payroll Analyst, AMER, you will own end-to-end payroll operations for the U.S., Canada, Mexico, and Brazil, ensuring accurate, timely, and compliant processing in a fast-moving, growth environment. You will be a key problem-solver for
100% REMOTE Bluecore Residential is a privately owned real estate investment company headquartered in Newport Beach, CA. Bluecore principals have owned and operated a multifamily portfolio totaling more than 16,000 units located in high-growth secondary markets.
General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday-Friday 8am-5pm Posted Date 07/06/2026 Salary Range: $29.17 - 56.37 Hourly Employment
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery
HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery
JOB DESCRIPTION Job Summary Provides support for provider denial coding dispute activities. Investigates and resolves disputes related to provider appeals, and ensures that claims adhere to correct billing standards and regulations. Essential Job Duties • Reviews coding-related
About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing
About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing
General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fixed Hybrid Work Schedule Monday - Friday, 8:00 am - 5:00 Posted Date 07/13/2026 Salary Range:
General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Fixed Hybrid Work Schedule 8-5 Posted Date 07/14/2026 Salary Range: $78500 - 163600 Annually Employment Type
Overview This Coding Validation Analyst I position will perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical knowledge and background to ensure appropriateness for reimbursement and will also respond
Hi, were Oscar. Were hiring a Analyst, Regulatory Affairs to join our Regulatory Affairs team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
Schedule: Days: M-F Job Location Type: [ Remote] Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our