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Facets Remote Jobs

28 fresh jobs found

Manager, Provider Credentialing Operations Implementation
Dayton WFH, United States

Credentialing operations Verity Cactus Cognizant Facets Credentialing software CAQH URAC Facets NCQA +31

USD 81K+

Retention Field Representative - Brooklyn (Cantonese, Mandarin)
Remote-NY, United States

Centene Corporation

Cantonese Home visits Mandarin Facets Researching Medical management Health Services Network Health care +21

Entry Mid Full Time

USD 44K+

Encounters Sys Analyst II
Mississippi WFH, United States

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+

Manager, Benefit Coding and Support Implementations
Dayton WFH, United States

Benefit Coding Medical policy development Healthcare payer Medical benefit plan design Payment methodologies Health Plan Operations Facets Resolution HCPCS +42

Senior Mid Full Time

USD 92K+

Identity and Access Management (IAM) Architect
Any city, AZ, US, 99999

Gainwell Technologies

Saviynt Cybersecurity Controls Ping Identity Authentication systems Facets Posting CIS OIDC Processes +49

Senior Full Time

USD 95K+

Technical Support Senior Analyst – Remote - Evernorth
Connecticut Work at Home, United States

The Cigna Group

Case installation Bpl Healthcare terminology C programming Cigna Contract Analysis MS Access Facets MS PowerPoint +36

Senior Mid Full Time

USD 60K+

Provider Network Operations Analyst II (SQL Required)
Dayton WFH, United States

Cactus Onbase Application configuration Provider network Health care operations Operational readiness Facets Regulatory reporting Resolution +30

USD 61K+

Provider Network Operations Analyst II (Facets required)
Dayton WFH, United States

Cactus Onbase Application configuration Provider network Health care operations Operational readiness Facets Regulatory reporting Resolution +30

USD 61K+

Benefit Support Analyst III (Implementation)
Dayton WFH, United States

Configuration templates Medical business requirements Medical benefit plan design OPPS ICD-CM Codes HCPCS codes Database relationships CPT codes Facets +30

Senior Mid Full Time

USD 70K+

Medicare Issue Management Senior Advisor - Cigna Healthcare - Remote
Tennessee Work at Home, United States

The Cigna Group

Symplr Cigna Process Engineering Facets Lean Six Sigma Incident Management Agile Methodology Six Sigma Business Operations +34

Senior Full Time

USD 109K+

Grievance & Appeals Specialist II (Hybrid/Indiana)
Indiana WFH, United States

Clinical appeals UAT testing Phone Etiquette Facets Resolution Certification Technical Writing Multitasking Medicaid +22

USD 40K+

Benefit Analyst II
Dayton WFH, United States

Medical business requirements Configuration templates Medical benefit plan design OPPS ICD-CM Codes HCPCS codes Database relationships CPT codes Facets +30

Entry Mid Full Time

USD 61K+

Benefit Support Analyst II
Mississippi WFH, United States

Medical benefit plan design OPPS ICD-CM Codes HCPCS codes Database relationships Facets CPT codes Resolution HCPCS +25

Entry Mid Full Time

USD 55K+

Risk Adjustment Coding Auditor II (CPC required)
Dayton WFH, United States

Risk Adjustment Coding ICD-10 Coding Facets Risk Adjustment Medical Coding ICD-10 Certification CMS Regulatory requirements +20

USD 53K+

Encounters Sys Analyst II-Vendor
Mississippi WFH, United States

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+

Financial Analysis Senior Analyst - Remote
Tennessee Work at Home, United States

The Cigna Group

Cigna Facets Reconciliation Pivot Tables Health Services Financial Verbal and written communication Insurance Products Client service +19

Senior Mid Full Time

USD 62K+

Operations Business Analyst III (Facets Claims)
Dayton WFH, United States

Facets Claims Health care operations Operational Effectiveness Operational readiness Facets Cost-benefit analysis Critical Listening Regulatory reporting Trend Analysis +34

Senior Mid Full Time

USD 81K+

Client Account Support Manager / Manager, Onsite Client Service - Remote
Connecticut Work at Home, United States

The Cigna Group

Service issue analysis Cigna OneView Customer outreach Proclaim Tracking systems HR Compliance Facets ROI +48

USD 87K+

Enrollment Analyst II (SQL required)
Dayton WFH, United States

Cognizant Facets Provider network Provider data management Provider Recruitment Facets NCQA Microsoft Access Certification Performance Improvement +25

USD 61K+

Health Plan Data Analyst II (Facets Required)
Dayton WFH, United States

Cognizant Facets Provider network Provider Recruitment Facets Provider engagement NCQA Customer Care Microsoft Access Certification +27

USD 61K+

Provider Network Coordinator I (Must live in Mississippi)
Mississippi WFH, United States

Provider database Provider network Facets Critical Listening Credentialing Certification Contracting Data integrity Network +20

USD 31K+

Director, EDI & Encounters Business Implementation
Dayton WFH, United States

Healthcare Claims Processing Creative Solutioning Reimbursement methodology Training and Support Facets EDI Resolution Cross-functional Team Leadership Technical Strategy +30

Exec Senior Full Time

USD 132K+

Application Architect II - Healthcare/Provider/Facets
Dayton WFH, United States

Facets Information Management Organizational development Research and development Technical Design Systems Engineering Storage Business Processes Network +21

Senior Mid Full Time

USD 92K+

Configuration Analyst III - (SDET/Automation experience)
Dayton WFH, United States

ICD-CM Codes HCPCS codes DRG reimbursement HIPAA codes Reimbursement methods Apc Database relationships APC reimbursement Clinical editing +41

Senior Full Time

USD 81K+

Director, Configuration Implementation
Dayton WFH, United States

API-driven automation Payer platform configuration Guidingcare Implementation Strategy Facets System integrations NCQA Healthcare Regulations System Configuration +28

Exec Senior Full Time

USD 110K+

Director, Claims Life Cycle Management & Implementation
Dayton WFH, United States

Reimbursement methodology Workflow evaluation Facets Business Processes Claims management Process Optimization Operational Efficiency Facilitation Managed Care +24

Exec Senior Full Time

USD 110K+

Configuration Systems Analyst III (Networx/Pricing)
PA WFH, United States

Reimbursement methods Clinical editing APC reimbursement Database relationships Regulatory Interpretation Configuration Software Health Plan Experience Facets DRG +30

Senior Full Time

USD 81K+

IT Manager - Claims and Encounters
Albuquerque, NM, United States

Presbyterian Healthcare Services

Healthcare Claims Facets IT Management PL/SQL Agile software development Java Team Leadership Software Development SQL +5

USD 127K+

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