Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. . . If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. The Senior Claims Specialist. Responsible for accurate and timely handling of claim issues for all lines of business, including bi-directional shar...
Bring your drive for excellence, teamwork, and customer commitment to Independence Blue Cross. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve. Successful candidates will have experience providing excellent service to customers of health insurance companies or other businesses. Qualified candidates must be comfortable work...
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. . If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. The. Data Insights & Reporting Analys. t will conduct data analyses focused on Risk Accuracy supporting the Government Markets (Medicare Advantage, U...
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. The. . Associate Learning Implementation Specialist. assists in the creation and delivery of effective strategies that support the performance and/or ...
The. Assistant. Product Manager, Pharmacy. develops and manages prescription drug benefit and related solutions to support customer needs and growth. Manages and collaborates with the PBM and other vendors, brokers/consultants, sales/account teams and a variety of other internal resources to develop and deliver innovative solutions. Is responsible for product strategy, developing new products, and refining in-market products. Serves as subject ma...
Bring your drive for excellence, team orientation and customer commitment to Independence. help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate, and serve, and we are looking for committed, empowered, learning-oriented people to join our team. Job Summary. Independence is seeking a motivated and curious data scientist to join our Advanced Analytics team. The data sc...
Specific Duties. . . Configures and maintains the business rules within the claims adjudication ecosystem. . . Configures the HealthRules software from development into the testing and production phases. . . Provides application and technical support for the HealthRules software as well as troubleshooting for end users. . . Identifies researches and resolves inaccuracies and inconsistencies in the business rules as they impact claims payment and ...
The Financial Ops Analyst – AHA duties included, but are not limited to. . Manage the disbursements process, which includes but is not limited to the following. HeathRules Payment Cycle Approval. Instamed Suspensions. Needs Funding Report review for Weekly Controls Meeting. Monitor missing checks/EFTS in disbursement dashboard. Approve Previous day Instamed Files. Responsible for navigating Health Rules to be able to review claims information as ...
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. . If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. The. Regulatory Performance Analyst III. serves as Subject Matter Expert (SME) and compliance consultant for assigned business areas. Responsible for...
Responsible for creation, evaluation, and analysis of all appeals and grievances reporting. Assess business requirements and implement solutions. Business tracking, trending, and analysis of all data points. Respond to requests from management that feature research, investigation, evaluation, documentation, and presentation of findings including recommendations. Development of Adhoc reports from both internal and external business partners and cu...
Bring your drive for excellence, team orientation, and customer commitment to AHA. help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate, and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you. The. Learning Consultant. role is responsible for the creation and execution of en...
The Supervisor of Self-Funded Billing is responsible for understanding all aspects of Self Funded Billing & Collections, Cash Application, and Finance Business and Systems Support, including workflow, processes, related systems and work procedures. Must be able to identify customer focused process improvement opportunities, system inconsistencies, assess root cause issues, apply business solutions and facilitate training opportunities. Must be ab...
