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... The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information ... The Senior Health Information Management Professional work assignments involve moderately complex .....
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Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy ... for payment. The Senior Pharmacy Claims Professional work assignments involve moderately..
Description The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description This Lead Actuary role requires a leader who is a creative thinker and is energized to build something from the ground-up. This team will start with a blank canvas to ..
Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..
... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... and Responsibilities: As a Pharmacy Claims Professional 2 Desktop Auditor you will ... review of pharmacy..
Description The Pharmacy Claim Professional 2 conducts reviews on pharmacy ... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... for recoveries. The Pharmacy Claim Professional 2..
Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Supervisor, Health Information Management ensures data integrity for claims errors. The Supervisor, Health Information Management works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable ..
Description The Pharmacy Claim Professional 2 in the Pharmacy Claim ... team conducts reviews on pharmacy claims to assess for recoveries. The ... for recoveries. The Pharmacy Claim Professional 2..
... The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the ... The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex ... The Senior Medical/Financial Risk Evaluation..
Description The Senior Pharmacy Claims Professional in the Pharmacy Claim Audit ... & Review department adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy ... for payment...
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..