1 to 15 of 741 
AmerisourceBergen Drug Corporation - 
Chesterbrook, PA / Orange, CA / Roanoke, TX / 2 more...
Customer Solutions Support Analyst (00001IK4) POSITION SUMMARY Under the direction of the Senior Director, Customer Online Platform, this role is responsible for delivery of train the trainer context as subject matter expert and escalation supporting, researching and resolving all complex functional areas for all current and future customer online platforms. The support analyst is the escalation p
Full Time / Bachelor's Degree Required
Posted Today
UnitedHealth Group - 
Pittsburgh, PA / Philadelphia, PA / Phoenix, AZ
Why work for the leading organization in health care to help improve the lives of millions? You'll find that this is no small opportunity on our Health Care Economics team. There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference in our company, our industry, even our world. As the Health Ca
Full Time / Bachelor's Degree Required
Posted 1 day ago
The Denials Analyst will be responsible for reviewing, researching and taking the next step based on the type of denial and protocol for the denial type. The Denials Analyst will provide a detailed monthly denial summary for each facility within the LifePoint Health Business Services Center. Job Responsibilities o Understanding of the revenue cycle and the responsibility and goals of each area and
Full Time / High School or Equivalent Required
Posted 2 days ago
UnitedHealth Group - 
Minnetonka, MN / Horsham, PA / Phoenix, AZ / 1 more...
Create experience tracking reports at various levels of detail, including rate cell/regional reporting consistent with revenue reimbursement for all C&S products Lead presentations to health plan leadership Manage and prioritize health plan project requests Provide reports to Market and Regional leaders on an on going basis including quarterly holistic trend reviews and monthly dives into identifi
Full Time / Bachelor's Degree Required
Posted 1 day ago
The Denials Analyst will be responsible for reviewing, researching and taking the next step based on the type of denial and protocol for the denial type. The Denials Analyst will provide a detailed monthly denial summary for each facility within the LifePoint Health Business Services Center. Job Responsibilities o Understanding of the revenue cycle and the responsibility and goals of each area and
Full Time / High School or Equivalent Required
Posted 2 days ago
Work to secure and validate agent licenses, contracts and appointments through Crump. Establishes and maintain agent's hierarchy for purposes of reporting and commission payout. Summary Responsible for gathering all necessary requirements to establish contractual relationships between insurance agents and carriers. Acts as a liaison between the insurance agents and insurance carriers for all contr
Full Time
Posted Today
Underpayment Anaylst SB (7410 2315) Job Summary Responsible for identifying underpaid payment discrepancies for Managed Care, Government and Commercial payor plans caused when payments posted by third party payors do not meet the expected payment as modeled in LifePoint Health Business Services, (LHBS). Expected payments are based on contracts with insurance companies or government mandated amount
Full Time / High School or Equivalent Required
Posted 2 days ago
West - 
Plymouth Meeting, PA
Plan Documents (SPDs) and Certificates of Coverage (COCs) Government programs, resources and legislation and mandates including but not limited to Affordable Care Act, FMLA, Medicaid, CHIP Group Health Plans (fully insured and self insured) Pharmacy benefits including injectable medications Individual Health plans and Exchanges plans West is connecting people and ideas. We are delivering on their
Full Time / High School or Equivalent Required
Posted 1 day ago
The Actuarial Analyst at Milliman will provide employee retirement benefit services to clients under the guidance of actuaries. Responsibilities of the position include general support to the consulting actuaries and other members of the team. This candidate will assist in preparation of recurring basic actuarial valuation and related compliance tasks for pension and OPEB plans for corporate and g
Full Time / Bachelor's Degree Required
Posted 14 days ago
Begin your career at UnitedHealth Group and you'll get an opportunity to do something extraordinary with your first job out of school make a real difference. We have modest goals Help 85 million people live healthier lives. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations attract a certain type of person. Crazy talented. Brilliant. Comp
Full Time / Bachelor's Degree Required
Posted Today
This position is responsible for maintaining the day to day workflow of medical claims related to accidents associated with motor vehicle, general liability, and/or workers compensation, so as to determine available medical benefits and pursue payments on behalf of the facility, in accordance with the agreed upon business plan. RESPONSIBILITIES Meet with and interview each patient who presents to
Full Time / High School or Equivalent Required
Posted 7 days ago
West - 
Plymouth Meeting, PA
Plan Documents (SPDs) and Certificates of Coverage (COCs) Government programs, resources and legislation and mandates including but not limited to Affordable Care Act, FMLA, Medicaid, CHIP COBRA Medicare A, B, MediGap, Supplement plans, Medicare Advantage, Medicare Part D plans High deductible health plans including Health Reimbursement Accounts (HRAs) and Health Saving Accounts (HSAs) Flex Spendi
Full Time / Associate Degree Required
Posted 1 day ago
As an Actuarial Consultant you will work with a team of industry professionals on regulatory consulting and other insurance industry engagements. This position has opportunity for advancement as well as personal and professional growth. Specific Duties and Responsibilities Serve as the actuarial subject matter expert on client engagements including; prepare original actuarial analysis, coordinate
Full Time / Bachelor's Degree Required
Posted 3 days ago
Responsible for the coding, testing, and maintenance for all insurance contracts for facilities in the scope of shared business services and all other designated LifePoint facilities. Job Responsibilities o Coordinate with necessary system administrators to load executed contracts into the contract management system o Continual monitoring for contract updates and implementation of any scheduled ra
Full Time / Bachelor's Degree Required
Posted 2 days ago
Develop, monitor and evolve the payment incentive model Work independently and interact with external constituencies Provide data analysis, contract auditing and metrics reporting to management Perform reconciliations to determine if physicians have met contractual obligations Translate highly complex concepts in ways that can be understood by a variety of audiences Advocate for best economics int
Full Time / Bachelor's Degree Required
Posted 2 days ago
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