Claims and Policy Processor Jobs

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Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...

Apply Now Claims Edit Payment Policy Manager Job Location: Boston, MA Job Description Working as a liaison between Operations and the Chief Medical Officer (or delegate), this position will assure all current and new clinical edits (CEs), and related changes to the Plan’s adjudication system are clinically sound and in accordance with BMCHP business requirements, Industry Standards and BMCHP Me...

Working as a liaison between Operations and the Chief Medical Officer (or delegate), this position will assure all current and new clinical edits (CEs), and related changes to the Plan’s adjudication system are clinically sound and in accordance with BMCHP business requirements, Industry Standards and BMCHP Medical Policy. The individual will be responsible for gathering and writing final CE busin...

Description McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Health Solutionsdelivers industry-leading clinical evidence and expert technology to help payers and providers collaborate for better healthcare outcomes at lower costs. Our solutions reduce unnecessary healthcare utilization while improving outcomes; opera...

Description Position Objective: This position is responsible for providing customer service that supports Berkshire’s and our Customer’s standards for quality for all products administered by Berkshire and Guardian. In addition the position is accountable for the analysis and processing of certain Disability Insurance requests, policy changes, billing and administration of all in-force disabilit...

Job Description Description Position Objective: Thisposition is responsible for providing customer service that supportsBerkshire’s and our Customer’s standards for quality for all productsadministered by Berkshire and Guardian. In addition the position is accountablefor the analysis and processing of certain Disability Insurance requests,policy changes, billing and administration of all in-for...

Description McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Health Solutionsdelivers industry-leading clinical evidence and expert technology to help payers and providers collaborate for better healthcare outcomes at lower costs. Our solutions reduce unnecessary healthcare utilization while improving outcomes; opera...

PNO Claims Payment Policy Consultant Requisition ID 137626 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportun...

Job Description Description Responsibilities: This position is responsible for providing excellent customer service that supports Berkshire’s and our customer’s standards for quality for all products administered by Berkshire and Guardian. Creates the customer experience that builds loyalty and persistency by presenting our customer with high-quality tangible value-added services through a foc...

Description Responsibilities: This position is responsible for providing excellent customer service that supports Berkshire’s and our customer’s standards for quality for all products administered by Berkshire and Guardian. Creates the customer experience that builds loyalty and persistency by presenting our customer with high-quality tangible value-added services through a focus on attitude an...

Kemper at a glance Kemper, with $8 billion in assets, is one of the nation's leading insurers. The Kemper family of companies specializes in property and casualty insurance and life and health insurance products for individuals, families and small businesses. Rated A- (Excellent) by A.M. Best Company, the leading insurance industry rating authority, Kemper ranks in the top 25 personal lines prop...

Claims Trainer: Healthcare Claims Processing Trainer Dell is looking for Healthcare Claims Processing Trainers. The Claims Trainer provides fully qualified claims processing personnel to the Claims department. Design, plan and execute classroom style training materials and department policies and procedures. Schedule, coordinate and communicate training activities to the Claims Operations Manage...

Claims Trainer Regular Full Time – San Ramon, CA *This is not a Dell position* Description: Provides fully qualified claims processing personnel to the Claims department. Design, plan and execute classroom style training materials and department policies and procedures. Schedule, coordinate and communicate training activities to Claims Operations Management Team. • Design, plan and implement ...

Job Title: Third Party Systems Claims Processing Coordinator Department: Third Party Systems – Managed Healthcare Third Party Systems Job Responsibility: · Handles a variety of complex duties related to auditing Third Party claims via POS and compliance related system functionality thru our Vendor processing system. · Initiate and identify new ways to maximize margin via editing and special re...

Albertsons Safeway is working to become the favorite food and drug retailer in every market it serves. The organization includes 2,230 stores, 27 distribution facilities and 19 manufacturing plants with over 250,000 employees across 34 states and the District of Columbia. The company is privately owned with supermarkets across the country that includes: Albertsons, Safeway, Vons, Pavilions, Randa...

PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is the second largest institutional pharmacy company in America. PharMerica operates more than 100 institutional pharmacie...

Established in 1989, National Interstate is one of the leading specialty property and casualty insurance companies in the country. We offer more than 30 different insurance products, including traditional insurance, innovative alternative risk transfer (ART) programs for commercial companies and insurance for specialty vehicle owners. We are able to provide innovative and customized insurance prod...

Job ID: 213 Position Description: One of the foremost public policy research organizations in the United States, Mathematica Policy Research is leading the way in conducting high-quality evaluations of government programs for Federal agencies, including the Centers for Medicare & Medicaid Services (CMS). We are seeking an experienced research SAS or Stata programming professional to process and...

Job ID: 216 Position Description: One of the foremost public policy research organizations in the United States, Mathematica is leading the way in conducting high-quality evaluations of government programs for federal agencies, including the Centers for Medicare & Medicaid Services (CMS). We are seeking an experienced research SAS or Stata programming professional to process and analyze public ...