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New SearchJOB DESCRIPTION Job Summary Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims ...
JOB DESCRIPTION Job Summary Responsible for accurate and timely production review of issues reported within our claims intake and processing ecosystem (QNXT, Edifecs, etc.). ...
JOB DESCRIPTION Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ...
JOB DESCRIPTION JOB SUMMARY (Purpose of the Job & high-level summary): Responsible for reviewing Medicaid, Medicare and Marketplace claims for overpayments; Researching claim ...
Job Description Job SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ...
JOB DESCRIPTION Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ...
Molina Healthcare is hiring in New Mexico for several Billing & Claims, Tribal Liaisons. These roles are specifically responsible for working with tribal entities regarding ...
Job Description Job Summary The Sr. Provider Claims Adjudicator is responsible for responding to providers regarding complex issues with claims, coordinating, investigates ...
JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving ...
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit ...
JOB DESCRIPTION Job Summary Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit ...
Job Description Job SummaryThe Sr Analyst, Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, and complete encounter ...
Job Description Job SummaryThe Sr Analyst, Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, and complete encounter ...
JOB DESCRIPTION Job Summary Manages a team of professional Configuration Analysts. Responsible for operational activities for the assigned team, including accurate and timely ...
Job Description Job Summary Manages the activities of the Data Analytics and Operations team. Performs research and analysis of complex healthcare claims data, pharmacy data, ...
JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues ...
JOB DESCRIPTION EMPLOYEE FOR THIS JOB POSITION MUST RESIDE IN CALIFORNIA. Job Summary Responsible for the oversight and monitoring of entities delegated for claims compliance. ...
JOB DESCRIPTION EMPLOYEE FOR THIS JOB POSITION MUST RESIDE IN CALIFORNIA. Job Summary Responsible for the oversight and monitoring of entities delegated for claims compliance. ...
JOB DESCRIPTION Job Summary Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit ...
JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting ...
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