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Business Operations Analyst','Full-time','Provider Network','Days','Days','80','80','None','None','WASHINGTON-FEDERAL WAY-FEDERAL WAY-HERON BLDG','','!*!Summary This position supports health plan operations on a national, regional and market level. May provide support to other health plan functions based on business ..
Claims Operations Analyst','Full-time','Administrative and Clerical','Days','Days','80','80','None','None','WASHINGTON-FEDERAL WAY-FEDERAL ... services to the Operations and Claims departments, as well as interfacing ... appropriate. This includes reviewing paid claims to ensure accuracy in collaboration..
Customer Service Supervisor','Full-time','Administrative/Clerical','Days','Days','80','80','Occasional','Occasional','WASHINGTON-FEDERAL WAY-FEDERAL WAY-HERON BLDG','','!*!Summary The Customer Service Supervisor provides leadership under the supervision of the Health Plan and National Member Services Leaders for all Customer Service activities, including hiring, ..
Actuarial Analyst II,III - Any Anthem Office location or Remote in United States - PS11071 New Location: United States Field: Actuarial Requisition #: PS11071 Post Date: 4 days ago Your Talent. ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Washington Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Manager, Fraud and Waste-Remote US in Seattle Washington Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
... (DMR), Part D Coverage levels, Claims Processing, End Stage Renal Disease, ... etc. that impact retroactive pharmacy claims processing. Development of training materials ... and emails regarding prior authorization,..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Seattle Washington ... Washington Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... to identify trends and review claims analysis for potential FWA, accuracy, ... Specialty, etc.) Strong understanding of pharmacy/healthcare claims, & knowledge of healthcare payment methodologies At least 2 .....
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Seattle Washington ... Washington Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
... degree Minimum 2 years of healthcare fraud investigations and/or claims auditing experience Knowledge of healthcare payment methodologies Strong clinical experience ... their home. We are a healthcare company committed..
Market Director, Patient Finance Services','221807','Revenue Administration','Washington-Seattle','Days','40 hours per week','40 hours per week','Days','Days','Monday - Friday','Monday - Friday','','','!*!Honored as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason in Seattle, WA, ..
Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... for an experienced medical coding auditor to..
