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19 fresh jobs found
Business Analyst III Claims Configuration
Remote-MO, United States Centene Corporation logo Centene Corporation
Provider reimbursement methodologies Managed Care Information Structured Testing Claims Configuration Business implementation Implementation processes Process redesign Operational reporting Reimbursement methodologies +38
Senior Mid Full Time
USD 68K+
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Contract Implementation Analyst
Remote-IA, United States Centene Corporation logo Centene Corporation
TPA Contract implementation Provider information system Provider contracts Amisys UAT Government programs Claims payment Claims analysis +25
Entry Mid Full Time
USD 44K+
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Claims Specialist III (Facets Claims)
Dayton WFH, United States CareSource logo CareSource
Facets Claims URAC ICD coding Claims payment Facets Healthcare operations NCQA CPT coding Accreditation +34
Entry Senior Full Time
USD 40K+
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Escalation Response Specialist III
Remote-MO, United States Centene Corporation logo Centene Corporation
Escalation handling Provider experience Claims payment Data Tracking Claims Adjudication Adjudication Contact center Customer Care Trend Analysis +23
Senior Mid Full Time
USD 68K+
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Encounters Sys Analyst II
Mississippi WFH, United States CareSource logo CareSource
835 files Financial impact 837o files Clinical impact Claims encounter Data issues Claims data management Encounter data Claims operations +55
Entry Mid Full Time
USD 55K+
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Contract Implementation Analyst
Remote-LA, United States Centene Corporation logo Centene Corporation
Contract implementation Provider information system Provider contracts Amisys UAT Government programs Claims payment Claims analysis UAT testing +24
Entry Mid Full Time
USD 44K+
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Escalation Response Specialist III
Remote-FL, United States Centene Corporation logo Centene Corporation
Provider experience Claims payment Escalation management Claims Adjudication Adjudication Contact center Customer Care Issue Resolution Claims processing +18
Senior Mid Full Time
USD 68K+
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Claims Mgmnt Analyst III (HealthPlan EDI experience required)
Dayton WFH, United States CareSource logo CareSource
Payment methodologies Health care operations Claims payment Sprint planning Regulatory reporting EDI User Stories Certification Claims management +34
Senior Mid Full Time
USD 70K+
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Provider Data Management Analyst I
Remote-MO, United States Centene Corporation logo Centene Corporation
Provider data management Healthcare operations Claims payment Provider Relations Credentialing Claims processing Claims Contracting Managed Care +18
Entry Full Time
USD 64K+
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Provider Engagement Network Specialist
Jackson - 111 E Capitol St., Ste 500 (Magnolia) (10106), United States Centene Corporation logo Centene Corporation
Provider directories Network reporting Demographic information changes Provider information system Contract research Provider data management Medical claims Provider education Claims payment +25
Mid Full Time
USD 44K+
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Supervisor, Provider Network
Remote-TX, United States Centene Corporation logo Centene Corporation
Network account management Quality Initiatives Provider Contracting Claims payment Guidelines Health Plan Procedures Claims Supervisory +19
Mid Full Time
USD 55K+
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Clinical Analyst I
Remote, United States Cotiviti logo Cotiviti
Coding validation Medical procedures Payment policy Claims payment Payment Medicaid regulations Healthcare Analytics ICD HCPCS +31
Mid Full Time
USD 70K+
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Business Analyst IV Configuration Testing Lead
Remote-MO, United States Centene Corporation logo Centene Corporation
Provider reimbursement methodologies Structured Testing Managed Care Information Process redesign Testing Strategies Claims payment Operational performance Reimbursement methodologies Business Process Analysis +34
Senior Mid Full Time
USD 86K+
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Encounters Sys Analyst II-Vendor
Mississippi WFH, United States CareSource logo CareSource
Data Usability Payment methodologies Claims operations Vendor oversight Billing Processes User Story Development Hcpcs coding Claims payment Facets +52
Entry Mid Full Time
USD 55K+
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Encounters Systems Analyst III (Prefer 837 file experience)
Ohio WFH, United States CareSource logo CareSource
Data Usability Payment methodologies Database Querying Claims operations Billing Processes Hcpcs coding Claims payment Reimbursement methodologies Sprint planning +45
Senior Mid Full Time
USD 81K+
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Medical/Clinical Reimbursement Policy Writer
Dayton WFH, United States CareSource logo CareSource
Bibliographic software Healthcare reimbursement practices Clinical editing Claims payment Healthcare policy Government relations Medical Writing NCQA Medical Coding +27
Mid Full Time
USD 70K+
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Data Analyst III Healthcare Analytics
Remote-MO, United States Centene Corporation logo Centene Corporation
Microsoft powerbi Large databases Claims pricing Clinical outcomes Data verification Claims payment Utilization Healthcare Analytics Microsoft Power BI +52
Senior Mid Full Time
USD 68K+
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Content Solutions Analyst I
Remote, United States Cotiviti logo Cotiviti
Medical policy rules NDC Report Analysis Clinical coding Claims payment Reimbursement methodologies Payment DRG Medical policy +33
Entry Mid Full Time
USD 95K+
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Data Analyst II Medical Economics
Remote-FL, United States Centene Corporation logo Centene Corporation
Claims pricing Clinical outcomes Claims payment Data verification Contract Analysis Healthcare Analytics Risk Adjustment Actuarial Actuarial science +44
Mid Full Time
USD 55K+
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