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181 fresh jobs found

Customer Service Advocate II - Outbound
Remote-TX, United States

Centene Corporation

CRM applications Contact Center Experience Outbound Calling Contact center Quality Standards Audits Claims Outreach Health Insurance +11

Entry Mid Full Time

USD 55K+

Director, Telematics - PL
Ohio-Work from Home-2, United States

Actuarial Methodologies Disciplinary Actions Resource Planning Property and Casualty Insurance Actuarial science State law Customer Value Actuarial Property and casualty +43

Exec Senior Full Time

USD 134K+

Sr Programmer Analyst (UNIX/C/SQL) - Remote: Tucker, GA
Atlanta, GA, US, 30084

Gainwell Technologies

Test Scripting Object Oriented Design and development Testing Tools Claims systems Batch Applications development Development Methodologies Software Development Methodologies +36

Senior Mid Full Time

USD 80K+

Claims Quality Audit Lead
Remote

Database language Database Languages Policy Documentation Claims auditing Healthcare Claims Technology Platform Claims processing Claims Auditing +14

Senior Mid Full Time

USD 84K+

Manager, Provider Network
Remote-TX, United States

Centene Corporation

Network account management Quality Initiatives Provider Contracting Claims payment Supervisory Procedures Contracting Claims Network +16

USD 86K+

Claims Research & Resolution Representative
Work at Home - Kentucky, United States

Administrative processes CRM Technology CAS LESS Administrative Tasks Mathematical Listening Claims processing Claims +33

Entry Mid Full Time

USD 43K+

Applied Analytics Analyst - Remote
Home, United States

Prime Therapeutics

Benefit plan data SXC Data Quality Monitoring Report development Project Implementation SPSS Data manipulation SAS MS Excel +20

Entry Mid Full Time

USD 66K+

Complaints and Issues Specialist II
Remote-CA, United States

Centene Corporation

Grievance handling Appeals processing Grievances Contact center Appeals Quality Standards Procedures Claims Confidentiality +18

Entry Mid Full Time

USD 34K+

Business Analyst IV - Claims
Remote-MO, United States

Centene Corporation

Managed Care Information Provider reimbursement methodologies Risk Evaluation Claims analysis Process redesign Policy Implementation Claims payment Reimbursement methodologies Operational performance +32

Entry Senior Full Time

USD 86K+

AVP, Agribusiness Claims
Iowa - Des Moines, 1100 Locust Street, United States

Reserve Authority Settlement Authority Disciplinary Actions Commercial Claims Workflow planning File review Commercial casualty Organizational Planning Technical Excellence +36

Exec Senior Full Time

USD 162K+

Provider Engagement Administrator III
Remote-WA, United States

Centene Corporation

HBR analysis Claims reimbursement Claims billing Value based performance Cost and utilization Interpersonal relationships Network performance Provider engagement Provider Relations +29

Senior Mid Full Time

USD 68K+

ADAP Insurance Broker Remote Connecticut
Home, United States

Prime Therapeutics

Client assessment Policy recommendations Insurance brokerage Claims Health Insurance Decision making Benefits Compensation Finance +4

USD 53K+

Customer Service Advocate II - Outbound
Remote-AZ, United States

Centene Corporation

CRM applications Contact Center Experience Contact center Quality Standards Audits Claims Outreach Health Insurance Communications +12

Entry Mid Full Time

USD 55K+

Life Insurance Specialist - Clive, IA
IA-Clive, United States

Mathematical Calculations Insurance sales Sales techniques Claims Insurance Products Administrative Sales leadership Pricing Health Insurance +19

Entry Mid Full Time

USD 25K+

Life Insurance Specialist - Battle Creek, MI
MI-Battle Creek, United States

Closing Techniques Mathematical Calculations Proposal Preparation Insurance sales Sales techniques Claims Insurance Products Administrative Sales leadership +21

Entry Mid Full Time

USD 26K+

Sr Actuarial Analyst - Medicare
Remote-FL, United States

Centene Corporation

Probability Actuarial Medicare part d Data Reporting Claims Mathematics Pricing Statistics Health Insurance +13

Senior Full Time

USD 68K+

Remote Behavioral Medical Director
Remote-IL, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 231K+

Sr. Trial Attorney- Law & Motion
California - Glendale, 100 West Broadway, United States

Strategic legal advice Law & motion practice Trial Advocacy Proactive Approach Personal Lines Civil Litigation Insurance defense Property and Casualty Insurance Technology Utilization +29

Senior Full Time

USD 124K+

Provider Services Unit Lead - Remote
Any city, WI, US, 99999

Gainwell Technologies

Customer contact operations Cxone MMIS Verint Avaya Team performance Help Desk Written and oral communication Accuracy +35

Senior Mid Full Time

USD 35K+

Provider Enrollment Analyst - Remote NV
Any city, NV, US, 99999

Gainwell Technologies

Policy evaluation Medical Knowledge Provider Enrollment Insurance Knowledge Independent work Processes Claims processing Claims Medical +15

USD 50K+

Claims Specialist III, Property Large Loss (Minneapolis/St Paul)
Minnesota-Work from Home-2, United States

Liability evaluation Property claims handling Property damage claims Claims systems Claims adjusting Customer Value Discovery Xactimate Property and casualty +36

Senior Mid Full Time

USD 77K+

Life Insurance Specialist - (Clocktower) Omaha, NE
NE-Clocktower, United States

Closing Techniques Mathematical Calculations Proposal Preparation Insurance sales Sales techniques Claims Insurance Products Administrative Sales leadership +21

Entry Mid Full Time

USD 28K+

Claims Specialist III, Commercial Property (Agribusiness, Large Loss Field Adjuster)
Iowa-Work from Home-2, United States

Business Income Property claims handling Property damage claims Claims systems Agribusiness Complex claims Customer Value Investigative Xactimate +31

Senior Mid Full Time

USD 200K+

Senior Analyst, UM Authorization Strategy
Remote

Mitigation Strategies Corporate strategy Technology Platform Dashboard Development Models Market development Management consulting Claims Claims management +31

Senior Mid Full Time

USD 69K+

Claims Processor
Remote

Health Insurance Operations Technology Platform Public Policy Claims processing Quantitative analysis Claims Google Sheets Data Entry Health Insurance +10

Entry Mid Full Time

USD 38K+

Provider Data Coordinator II
Remote-MS, United States

Centene Corporation

Provider data issues Provider data management Microsoft Access Claims Network Databases Health Insurance Managed Care Data Management +10

USD 44K+

Clinical Investigator Behavioral Health
Remote-MO, United States

Centene Corporation

Investigative support Provider education Medical necessity Fraud detection Procedures Medical Records Report Writing CMS Claims +14

USD 55K+

Coder III, Complex Outpatient (Remote)
NESM - Saint Mary's Hospital, United States

Health record documentation Ambulatory procedure classification Reimbursement guidelines EMR communication tools NCCI edits LCD/NCD edits Claim edits Coding ethics Encoder software +24

Senior Mid Full Time

USD 54K+

Help Desk Representative - Healthcare - Remote US
Any city, FL, US, 99999

Gainwell Technologies

Help Desk Written and verbal communication Processes Utilization Review Operating Systems Claims Government Medical Feedback +17

USD 29K+

Coder II, ER (Remote)
Newtown Square, PA, United States

Health record documentation EMR communication tools Coding ethics Encoder software Denials ICD-CM Health records Medical record documentation ICD +20

USD 48K+

Michigan Claim Analyst
MI-HMMI Empl Work From Home, United States

Revenue Codes Claim analysis Property and casualty claims Automated processing systems Medical bill review Human Anatomy ICD-9 Microsoft Visio Analyzing +24

Entry Mid Full Time

USD 40K+

Fraud and Waste Investigator
Remote US, United States

Healthcare payment methodologies MS Access Investigative Ethics Process Development Investigations MS Word Business Operations Claims processing +41

USD 65K+

Manager, Claims - Field Property (SoCal and AZ)
California-Work from Home-3, United States

File review Workflow planning Property damage claims Loss control Customer Value Property and casualty Property Claims Property Damage Subrogation +31

Senior Mid Full Time

USD 86K+

Part-Time Weekend Medical Director
Remote-FL, United States

Centene Corporation

Health financing Government programs Medical management programs Provider network development Health administration Health care quality Personnel management Medical Review Clinical Quality +32

Exec Senior Part Time Full Time

USD 231K+

Manager, UM Authorization Strategy
Remote

Financial strategic analysis Project consulting Mitigation Strategies Automation Development Metrics Evaluation Business Process Consulting Healthcare Consulting Strategic Analysis Technology Platform +38

USD 97K+

FNOL Representative I
Remote

Accuserve Solutions

Call center Operations Claims processing Claims Data Entry Empathy Insurance Negotiation Customer service Problem-solving +2

Entry Mid Full Time

USD 30K+

Senior Analyst, Payment Integrity Data Mining
Remote

Healthcare Payment Integrity Database Languages Claims auditing Business Insights Technology Platform Lean Six Sigma Models Knowledge Management Data Mining +24

Senior Mid Full Time

USD 65K+

Claims Recovery Specialist
Remote

Database language Database Languages Provider communication Health care operations Payment Integrity Technology Platform Claims processing Claims Auditing +15

USD 64K+

Data Analyst III - Visual Studios
Remote-NC, United States

Centene Corporation

Active Batch Data Quality Audits SSRS SSIS Healthcare Analytics Visual Studio Analytical tools Credentialing Healthcare experience +29

Senior Mid Full Time

USD 68K+

Medicare Complaints and Issues Specialist II
Remote-MO, United States

Centene Corporation

Grievances handling Complaint Resolution Medicare Knowledge Grievances Appeals Contact center Procedures Quality Standards Claims +17

Entry Mid Full Time

USD 34K+

Provider Engagement Network Specialist
Remote-CA, United States

Centene Corporation

Contract research Provider data issues Provider information system Network reporting Claims payment Provider engagement Provider education Spreadsheets Claims processing +18

USD 44K+

AVP, Medical Bill Review Litigation
Schaumburg, IL, US

Zurich Insurance

Legal responses Medical bill disputes Casualty claims management Claims documentation Insurance Claims Casualty insurance Insurance Industry Litigation Claims management +15

Exec Senior Full Time

USD 130K+

Data Analyst IV
Remote-AZ, United States

Centene Corporation

Data Quality Audits MS Access Healthcare Analytics HEDIS Analytical tools Healthcare experience Data Warehousing Audits Claims +20

Entry Senior Full Time

USD 86K+

Data Analyst III
Remote-AZ, United States

Centene Corporation

Data Quality Audits MS Access Healthcare Analytics HEDIS Analytical tools Healthcare experience Audits Claims Data Quality +19

Senior Mid Full Time

USD 68K+

Contract Negotiator I
Remote-MO, United States

Centene Corporation

Contract Analysis Provider Relations Healthcare administration Claims Contracting Database Management Network Business administration Contract Negotiation +13

Entry Mid Full Time

USD 55K+

Healthcare Analytics Data Analyst II
Remote-TX, United States

Centene Corporation

Claims payment Data verification Healthcare Analytics Risk Adjustment Microsoft Power BI Healthcare administration Actuarial science Actuarial Trend Analysis +40

USD 55K+

Operations Intake Coordinator I
Remote-MO, United States

Centene Corporation

Workflow systems Workfront Document management Claims Confidentiality Supervision Data Entry Health Insurance Access +5

Entry Full Time

USD 53K+

Senior Health Informatics Analyst - Remote
Home, United States

Prime Therapeutics

Utilization Analysis Healthcare Claims Health Informatics Data Mining Claims Reports Benefits SQL Healthcare +3

Senior Full Time

USD 74K+

Claims Research Specialist
Remote-PA, United States

Centene Corporation

Medicaid benefits Claims billing Government programs Claims payment Provider Relations Referrals Procedures Claims processing Data integrity +10

USD 77K+

Part-time Medical Director - Kansas
Remote-KS, United States

Centene Corporation

Health financing Medical management programs Provider network development Government programs Health care quality Personnel management Medical Review Clinical Quality Health administration +32

Exec Mid Part Time

USD 221K+

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