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THIS POSITION IS LOCATED ON SITE IN BIRMINGHAM, AL. Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with polici
Posted 1 day ago
Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 45% Ensures effective cus
Posted 1 day ago
Change Healthcare
- Baltimore, MD / Lexington, KY / Cheyenne, WY / 47 more...
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted 1 day ago
Change Healthcare
- Baltimore, MD / Lexington, KY / Cheyenne, WY / 53 more...
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted 1 day ago
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities for improvement that can be addressed with educational initiatives. Description 40% Uses multiple software platforms to produce reports in accordance with work requests, internal initiatives, and r
Posted 1 day ago
Responsible for submitting stop loss claims to our reinsurance carriers. Coordinates with claims and membership to obtain required supporting documentation for stop loss reimbursements. Maintains/provides status updates via reporting, logs, and the stop loss database of all outstanding submissions. Description 65% Monitors aggregate and specific claims experience by use of specific analysis,
Posted 1 day ago
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Description 40% Designs, codes, maintain and executes simple to complex database programs for the extraction and
Posted 1 day ago
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Description 40% Designs, codes, maintain and executes simple to complex database programs for the extraction and
Posted 1 day ago
Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plan
Posted 1 day ago
The Manager oversees a team of technical risk specialists charged with ensuring the Company is practicing sound risk management principles. These specialists are responsible for quality assurance, ERISA and non ERISA appeals, general and Department of Insurance complaints, market conduct examinations, regulatory compliance oversight, internal and external audits. The Manager sets strategic and tac
Posted 1 day ago
/OVERVIEW The Employment Practice Claims Analyst is a key member of the Litigation and Claims Team who is primarily responsible for investigating, analyzing, and determining the extent of company's liability concerning employment practice liability claims and attempt to effect settlement. The Analyst will also correspond with outside counsel, customers, or witnesses to compile and provide informat
Posted 2 days ago
/Skills/Experience Requirements Ensures customer care and selling are #1 priority Practices operation invitation and positive customer interaction by smiling and greeting every customer that comes within working area Interacts with customers to determine and meet customer needs, provide assistance and support and ensure a positive shopping experience Understands the store layout, services and loca
Posted 12 days ago
/Skills/Experience Requirements Ensures customer care and selling are #1 priority Practices operation invitation and positive customer interaction by smiling and greeting every customer that comes within working area Interacts with customers to determine and meet customer needs, provide assistance and support and ensure a positive shopping experience Understands the store layout, services and loca
Posted 12 days ago
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