Healthcare Claim Analyst Jobs in Mechanicsburg, Pennsylvania | HealthcareCrossing.com


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72

Healthcare Claim Analyst Jobs in Mechanicsburg





Job info
 
Company
**********
Location
Pittsburgh, PA
Posted Date
May 13, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 30, 2022
Info Source
Employer  - Full-Time  90  

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Pittsburgh Pennsylvania Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

... Humana Lead Product Manager - Healthcare API in Pittsburgh Pennsylvania Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

 
Company
Humana Inc.
Location
Pittsburgh, PA
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Pittsburgh Pennsylvania Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Nov 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Aug 29, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Call Center Pharmacy Claims Technician in Pittsburgh Pennsylvania Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Pittsburgh, PA
Posted Date
Sep 14, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

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