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18 fresh jobs found

Operations Specialist II
Dayton WFH, United States

Claims operations Proper grammar usage Hcpcs coding Icd-9 coding Decision support Billing Processes ICD-10 Coding Facets Critical Listening +40

USD 61K+

Configuration System Analyst II - Benefits Configuration
Mississippi WFH, United States

Configuration Analysis Use-Case Analysis ICD-CM Codes DRG reimbursement Reimbursement methods HCPCS codes HIPAA codes APC reimbursement Database relationships +48

USD 63K+

Payment Cycle Analyst III
Mississippi WFH, United States

Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35

Senior Mid Full Time

USD 63K+

Health Plan Data Analyst II (SQL required)
Mississippi WFH, United States

Provider network Provider data management Provider Recruitment Facets NCQA Microsoft Access Certification Performance Improvement Visio +24

USD 55K+

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+

Clinical Appeals Nurse
Mississippi WFH, United States

MDCH regulations URAC State hearings OAC Proper grammar usage Clinical appeals Phone Etiquette Facets Critical Listening +22

Exec Mid Full Time

USD 55K+

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+

PI Medical Coding Reviewer II (CPC or RHIT or RHIA required)
Dayton WFH, United States

Healthcare claim system configuration Diagnosis codes OPPS Reimbursement methodology Apc Anatomy and physiology Facets DRG Physiology +25

USD 53K+

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+

Customer Care Associate
Remote-NY, United States

Centene Corporation

Medicaid Knowledge Facets Compliance Standards Customer Care Logging Quality Standards Audits Procedures Regulatory +17

Entry Mid Full Time

USD 53K+

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+

PI Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Dayton WFH, United States

Anatomy and physiology Reimbursement methodology ICD10 Claims auditing Facets DRG CPT coding Medical Coding HCPCS +23

Senior Full Time

USD 61K+

Application Architect II
Dayton WFH, United States

Tidal job scheduling Facets Dynatrace Application Architecture Information Management Organizational development Dashboard Creation Storage Systems Engineering +22

Senior Full Time

USD 92K+

Accounts Receivable Manager - Provider Relations Lead Analyst - Remote
California Work at Home, United States

The Cigna Group

PMHS Proclaim Claims Administration Provider Contracting Facets Provider Relations Health Services Financial Contracting +22

Senior Mid Full Time

USD 65K+

Sr Business Applications Analyst
Full Time Remote - North Carolina, United States

Software Configuration Facets System testing Agile Methodology Medicare Business Analysis Medicaid Communications SQL +6

Senior Mid Full Time

USD 84K+

Team Lead, Configuration Testing
Dayton WFH, United States

Testing Approach Health plan business Configuration Testing Project Scope Definition Reporting Strategy Claims Workflow Clinical editing Provider reimbursement Application configuration +18

Senior Mid Full Time

USD 81K+

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