Health Claims Jobs in Pennsylvania
1 - 15 of 324
Search Results - Health Claims Jobs in Pennsylvania
Chubb-Philadelphia-
for the day-to-day operation of our Accident & Health Claims Department functions to produce exemplary results via our Direct Handle adjusters and our TPA/MGU/MGA partnerships, as well as serving as a subject matter expert regarding all claims and claims...
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Brown & Brown-United-
Job Description
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
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One80 Intermediaries is seeking a Claims Adjuster to join our growing team!
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TEKsystems-Pittsburgh-
Overview
In this contract, remote CWCOT Claims Processor role supports mortgage claim processing for FHA-related files. You review, process and verify claims against guidelines, enter data, and resolve discrepancies to ensure accuracy within...
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Radiant Infotech-United-
Job Description
Help resolve the transaction failures that delay claims and payments. Your expertise will connect detailed EDI analysis with complaint investigations, regulatory guidance, and corrective actions that help providers and health plans...
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UnitedHealth Group-York (PA)-
econometrics, predictive modeling, ROI analysis, simulation, and data visualization for policy development
• Query large healthcare claims databases and prepare data for internal/external use
• Write specifications and documentation of data processing...
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Chubb-Philadelphia-
or related roles, preferably within insurance, claims, healthcare, or RMIS environmentsExperience with data integration, conversion, onboarding, or system implementation projectsStrong background in business process analysis and workflow optimization...
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SCAN Health Plan-York (PA)-
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
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American International Group (AIG)-Philadelphia-
of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. Grow your career at the forefront...
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Rula-Easton (PA)-
of the administrative work so you can focus fully on helping clients heal and thrive. As a Rula therapist, you’ll have true schedule autonomy and the backing of a team dedicated to raising the standard of behavioral health.
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Our commitment to quality means providers...
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Insight Global-Pittsburgh-
party claims
• Healthcare industry experience with claims background
• Strong technical aptitude and ability to learn complex new software
A closed door pharmacy is looking to hire a Pharmacy Benefits Specialist. This role will include processing...
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Dreambound-Montgomeryville-
healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities.
Highlights :
• Complete in as short as a few weeks to a few months
• Online and in-person options available
• Payment...
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Contact Government Services, LLC-Harrisburg-
Senior Civil Health Care Fraud Investigator Employment Type: Full Time, Mid-Level Department: Litigation Support CGS is seeking a Senior Civil Health Care Fraud Investigator to join our team supporting the legal mission of a large federal agency...
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Dreambound-Waynesboro (PA)-
healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities.
Highlights :
• Complete in as short as a few weeks to a few months
• Online and in-person options available
• Payment...
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Cencora Global Consulting Services US Corporation-Allentown-appcast.io-
ABOUT THE ROLE
At Cencora, we are passionate about helping our clients anticipate reimbursement challenges and creating targeted health policy solutions that maximize patient access at every stage of the product life cycle.
As Senior Director...
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2 similar jobs: Pittsburgh, Philadelphia
UnitedHealth Group-York (PA)-
and reduce rework
• Build stakeholder relationships and present updates with executive presence
Key requirements
• 5+ years in healthcare
• 3+ years in Payment Integrity, Revenue Integrity, claims operations, healthcare analytics, or related function
• 3...
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