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Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Jersey City, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Newark, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Queens, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or New York, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or New York, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Staten Island, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Yonkers, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or Yonkers, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Medical Coding Supervisor

Saicon Consultants Inc.

Remote

Full-time

Job Title: Facility Coding Supervisor Job Type: Permanent (Direct Hire) Job Location: 100% Remote (Must reside in approved states: AK, AL, AR, AZ, FL, ID, KS, LA, MO, MS, MT, ND, NE, NM, NV, OK, SD, TX, UT, WY) MUST be able to obtain a static IP Reporting To: Manager of the coding group Team Size: ~10 members (Inpatient, Same Day Surgery, Observation Coding) Assessment: Required for consideration POSITION SUMMARY Responsible for supervising and coordinating the timely and accurate coding and abs

Outpatient/Profee Coder - Remote

Software Guidance & Assistance

Remote or Chicago, Illinois, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for an Outpatient/Profee coder for a Contract assignment with one of our premier Healthcare clients in Chicago, IL. (100% remote) Responsibilities : Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, interna

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Facets Developer

Digitive LLC

Remote

Contract, Third Party

Facets Developer Remote - CST Time zone Job Description/ Responsibilities: Oversee the integration of data with Facets systems to ensure seamless workflow and system functionality.Provide expertise in Facets Benefit Configuration to optimize benefit structures and improve overall efficiency. Substantial intelligence of Facets system applications and understanding in multiple product lines (HMO, POS, PPO, Dental, Indemnity, Medicare and Medicaid).Understanding of Provider tables, i.e.; Practition

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Ann Arbor, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Augusta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Caldwell, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to