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Change Healthcare
- Baltimore, MD / Lexington, KY / Cheyenne, WY / 49 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 Today
Develops difficult statistical analysis using standard reporting, AD HOC reporting, and data mining tools in order to identify patterns and trends. Prepares charts, illustrations, and other graphics and narrative reports to identify and explain data findings. Description 30% Develops, maintains, and executes complex database programs for the extraction and presentation of data for standard a
Posted Today
The primary function of this position is to process medical claims to completion, ensuring proper payment in accordance with the benefit plan reference and guidelines. Job Duties & Responsiblities Interpreting coding and understanding medical terminology in relation to diagnosis and procedures Analyzes and answers inquiries regarding payment, co pay or deductible amounts, and/or reason for denial.
Posted 20 days ago
Responsible for assisting in the execution of Medicare financial, compliance, and operational audits including evaluation of internal controls. Completes desk reviews and audits of PPS Hospitals, Home Offices, CAH, and Jurisdictional Specific provider types. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Review
Posted Today
Administers corporate risk management program to ensure minimal loss exposure to the company and performs other administrative and compliance functions. Maintains corporate insurance information. Develops and administers insurance budget for Plant Spartanburg. Serves as the primary contact for Plant Spartanburg with BMW Group and North America Sales Company Risk Management and BMW s insurance brok
Posted 23 days ago
LPL Financial
- Charlotte, NC / Fort Mill, SC
Recognizes issues, problems, or opportunities and determines whether action is needed Makes connections & offers creative recommendations on how to solve business challenges. Qualifications Bachelor's degree required 1 2 years of financial service experience Series 99 preferred BETA required Word, Excel, Access, Outlook, Siebel Knowledge of DTC and BONY preferred Prior experience in processing Cor
Posted 9 days 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
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