Senior Accounts Receivable Specialist- Healthcare Port St. Lucie, FL Follow up of outstanding A/R all payers and/or including self-pay and/or including resolution of denials as it relates to the clearinghouse. This position is responsible for handling all correspondence related to an insurance or
Remote - Tennessee. Remote - Ohio. Remote - South Carolina. Remote - North Carolina. Remote - Oklahoma. Augusta - Anthony Ave. Remote - Maine. Title. Software Engineer. Overview of Position. We are looking for software engineers to work on an exciting project at Company.
Business Solutions Analyst. Remote - Multiple Sates, US. Responsible for Legacy System utility set-up and maintenance, user training & support, interface development/support, interface mapping/research, claims/ERA processing issues related to carriers and/or Relay Health processes.
. Provides guidance to Product Development on new product/benefit cost impacts. . Develops and maintains pricing tools that price standard and custom benefits. . The Actuary, Pricing works on problems of diverse scope and complexity ranging from moderate to substantial. .
Experience in developing, maintaining and collecting structured and unstructured data sets. Experience creating advanced analytics to support business strategy. Experience identifying and resolving complex technical and operations problems.
. Consults the BI architect on development of new custom data models in Caboodle and on the design, development, or maintenance of BI solutions from other applications used at the organization. . Promotes effective and efficient delivery of new BI tools through Agile software delivery processes.
An insurance company has an open position for a Remote Risk Adjustment Supervisor. Individual must be able to fulfill the following responsibilities: Works with Corporate Risk Adjustment teams, the Regional Provider Engagement and Contracting teams Manages up to 10 Risk Adjustment
Genetic Counselor (Board Certified) (Remote US) Description Humana is seeking a Genetic Counselor to assist in the detecting and investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This is an inward facing role, with no direct member
Senior Policy Governance Professional - Care Delivery Organization Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led toward