Medical Claims Jobs in Omaha
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Search Results - Medical Claims Jobs in Omaha
Humana-Omaha
Overview
As a Medical Coding Auditor at Humana, you will review medical claims against records to ensure accurate CPT/HCPCS/ICD-10-CM coding. You will interpret coding guidelines and contribute to cost reduction while supporting APC outpatient...
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Contact Government Services, LLC-Omaha
fraud matters. The Fraud Analyst will analyze financial and medical claims data, conduct forensic audits, develop damages assessments, and prepare reports and evidence to support investigations, prosecutions, settlements, and recoveries.
The ideal...
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UnitedHealth Group-Omaha
years of Python, SQL or R experience; experience with Snowflake or Databricks
• 2+ years of CMS Payment Model Implementations
• 2+ years of working with medical claims and enrollment data in large data warehouses (e.g., Integrated Data Repository...
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SCAN Health Plan-Omaha
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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TEKsystems-Omaha
and appeal filings
• Knowledge of specialty pharmacy operations
• Must have pharmacy call center experience (A-level) or healthcare call center/medical claims experience (A- to A+ range)
• communication skills
• collaboration and teamwork
• attention...
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Sedgwick-Omaha
Overview
In this role you perform clinical evaluations on disability claims, guiding medical review and ensuring documentation supports claim decisions. You act as a clinical resource to claims examiners and collaborate with providers to validate...
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