Health Claims Jobs in Providence
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Search Results - Health Claims Jobs in Providence
Blu Omega-Providence-mindmatch.ai-
/ Suitability: Public Trust eligibility required
Responsibilities
• Conduct Medicaid claims analysis, including encounter, eligibility, and provider data
• Support data quality, validation, and reconciliation efforts across large healthcare datasets
• Develop...
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TEKsystems-Providence-
Overview
In this role, you will support a healthcare/PBM organization by researching, auditing, and remediating pharmacy claims affected by RxClaim system issues. You will work remotely with a cross-functional team to identify root causes...
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Somatus-Providence-mindmatch.ai-
knowledge of health care regulations and compliance, including Stark and Anti-Kickback, False Claims Act, corporate practice of medicine, licensure regulations, and other applicable laws and regulations.
• Drafting and review experience, particularly focused...
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CorVel-Providence-
Overview
As Vice President of Claims, you will steer strategic claims operations to meet revenue and profit goals while developing staff and driving customer satisfaction and retention. You’ll lead cross-functional collaboration to enhance...
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9025 CVS Shared Services Resources LLC-Providence-appcast.io-
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves...
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ProClinical-Providence-
Overview
As Product Owner, you will drive enhancements to a healthcare payments and reimbursement platform, working with cross-functional teams to deliver value for patients, providers, and businesses. You’ll shape product requirements, prioritise...
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Providence-icims.com-
Overview:
Are you looking for a highly rewarding opportunity that provides extensive career growth opportunity? Gilbane is seeking a Senior Claims Specialist to be responsible for a single line of insurance, supporting multiple Divisions...
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UnitedHealth Group-Providence-
collaboration experience
• Bachelor’s degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related fields
• Experience with claims systems, contract modeling software, or reimbursement configuration platforms...
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EnTech Resources, LLC-Providence-jobvertise.com-
and supervisors to ensure safety and facility reliability.
Assist in accident investigations, injuries, or property damage claims.
Monitors operational efficiency and effectiveness. Assesses progress and redirects activities as necessary.
Develop organizational...
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MWH Constructors-Providence-
disputes, support negotiations, and drive effective claims management within the organization. This is a mission-driven opportunity to contribute to essential public works and improve communities.
Compensation / Benefits
• Group health & welfare benefits...
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Providence-carenewengland.org-
for hospital case management departments regarding concurrent denials
8. Assist the Care Management department on implementing a strong process that will help prevent claims denials and lodge successful requests for appeals
9. Works with and educates staff...
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Randstad-Providence-randstadusa.com-
questions related to plans, benefits, claims, eligibility, and coverage.
• Educate members on how to use their Medicare plans effectively and navigate the healthcare system.
• Provide high-touch, personalized support in a professional and empathetic manner...
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Providence-tiptopjob.com-
Be part of a team that unleashes the power of leading:edge technologies to help improve the health and well:being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible...
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Providence-carenewengland.org-
for hospital case management departments regarding concurrent denials
8. Assist the Care Management department on implementing a strong process that will help prevent claims denials and lodge successful requests for appeals
9. Works with and educates staff...
Read more
Providence-icims.com-
financial forecast, notice provisions, and billings to meet contract requirements potential claims; escalates to leadership of unresolved deviations
• Ensures team creates a project-specific quality plan aligned with the owner contract and contract documents...
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