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Health Claims Jobs in Fairfield

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Search Results - Health Claims Jobs in Fairfield
Fairfield
Qualifications: Education and Experience Bachelor’s Degree in Business Management, Change Management, Information Technology, Healthcare Administration or related field preferred. Minimum five (5) years’ experience analyzing and enhancing automated claims...
icims.com -
Essel-Fairfield
and processing, employee record management, worker's comp and unemployment insurance management and claims processing Development, Implementation and oversight of HR initiatives, processes and systems Assists with asset management, background checks, drug...
resume-library.com -
Fairfield
testing and implementing new code, analyzing user requirements, and aligning work with business priorities. Responsibilities:  •  Lead Health Rules Payer (Claims System) Transaction Management responsibilities.  •  Maintain comprehensive knowledge of HRP...
icims.com -
Cherry Talent Group-Fairfield
functions, including job costing, financial reporting, subcontractor administration, and compliance, while supporting the overall financial health of the organization. Key Deliverables: Job Costing/Profitability Analysis: Track job costs for specific...
resume-library.com -
Fairfield
Overview: The Manager of Telecom will oversee the installation, configuration, management, and troubleshooting of Cisco Unified Communications solutions to all of the health-plan’s contact center organizations (Member Services, Health Services...
icims.com -
Fairfield
payment audit functions in collaboration with Internal Audit. Responsibilities:  •  Works collaboratively with the Finance, Member Services, Provider Relations, Health Services, and Claims departments.  •  Leads the Cost Avoidance and Recoveries Team...
icims.com -
Fairfield
benefit designs and ensure successful configuration, integration, and accurate and timely payment of claims and all PHC systems. Coordinates testing, quality assurance, configuration, installation, and support to ensure smooth, stable and timely...
icims.com -
Fairfield
Works with other departments to resolve claims, grievance, CC, PR, QI, RAC and member issues as necessary.  •  Develops structures, relationships, and processes to promote active partnerships with providers, community stakeholders, and/or other healthcare...
icims.com -
Fairfield
Responsibilities:  •  Conducts retrospective claims review, either in the aggregate or on an individual basis. Provides summaries of findings to the Team Manager UM.  •  Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi...
icims.com -
Fairfield
Responsibilities:  •  Conducts retrospective claims review, either in the aggregate or on an individual basis. Provides summaries of findings to the Team Manager UM.  •  Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi...
icims.com -
Fairfield
in Epidemiology, Public Health, or a closely related field; PhD, or DrPH preferred. 3-5 years of experience in applied epidemiology, preferably in a healthcare claims database/EMR or public health setting. Special Skills, Licenses and Certifications Strong...
icims.com -
Fairfield
Overview: The Supervisor of Provider Systems will supervise the day-to-day operations of the Provider Relations (PR) Department functions involving provider data used for operations, reporting and claims processing. Provides supervision, support...
icims.com -

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