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Centene Corporation
Centene Corporation
DraudimasKonsultavimasSveikatos priežiūra
„Centene Corporation“ yra sveikatos priežiūros ir draudimo bendrovė, daugiausia dėmesio skirianti valstybės remiamam draudimui ir bendruomenių sveikatai. Jos paslaugos apima „Medicaid“, „Medicare“, „Health Insurance Marketplace“ planus ir TRICARE paramą kariuomenės bendruomenėms. „Centene“ derina vietos lygmeniu teikiamą priežiūrą su partneryste su ne pelno organizacijomis, kad patenkintų aptarnaujamų narių poreikius. Vykdydama veiklą ir remdama bendruomenes, bendrovė taip pat atsižvelgia į aplinkosaugą ir etišką valdymą.
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Darbai įmonėje

Payment Integrity Analyst II – Remote

Analyze healthcare claims, business processes, and requirements for Centene’s payment integrity initiatives. Support data analysis, system testing, reporting, and process improvement in a remote role.

USJungtinės ValstijosFLFloridaMIMičiganasMOMisūrisNCŠiaurės KarolinaTXTeksasas
56 200 $ – 101 000 $ / metai
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisPrivaloma Kalba: anglųAnalitikas

Aprašymas

  • Analyze and interpret information to connect business needs with objectives for the assigned function
  • Support business initiatives with data analysis
  • Identify implementation obstacles and perform user acceptance testing for new systems
  • Review user requirements, procedures, and issues to improve existing processes
  • Conduct in-depth analysis for assigned projects
  • Recommend business solutions and support their implementation
  • Improve performance management and operational reporting for new business implementation processes
  • Apply organizational best practices within business applications
  • Lead problem-solving and coordination across business units
  • Help develop and maintain departmental policies and procedures
  • Complete additional duties as assigned
  • Follow all applicable policies and standards

Reikalavimai

  • Bachelor’s degree in a related field or equivalent professional experience
  • At least two years of business process analysis experience, preferably in healthcare or claims payment and analysis
  • Payment integrity or healthcare claims auditing experience is preferred
  • Medical coding certification is preferred
  • Strong analytical and root cause analysis capabilities are preferred
  • Excel proficiency is preferred
  • Experience with ticketing systems is preferred
  • Knowledge of managed care information systems is preferred
  • Experience with benefits, pricing, contracting, or claims is preferred
  • Knowledge of provider reimbursement methodologies is preferred
  • Prior experience with structured testing is preferred
  • Ability to document business processes and collect requirements
  • Ability to comply with all policies and standards

Privalumai

  • Competitive compensation
  • Health insurance
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity employer with a commitment to diversity

Susiję darbai

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Darbuotojai
LogistikaSveikatos priežiūraSvetingumo sektorius
ARArgentinaBOBolivijaBRBrazilijaCLČilėCOKolumbijaCRKosta RikaCUKubaDODominikos RespublikaECEkvadorasGTGvatemalaHNHondūrasHTHaitisMXMeksikaNINikaragvaPAPanamaPEPeruPRPuerto RikasPYParagvajusSVSalvadorasUYUrugvajusVEVenesuelaNuotolinisVisas etatasJaunesnysis specialistasDiplomas nebūtinasPrivaloma Kalba: anglųPrivaloma Kalba: ispanųVertėjas

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Atidaryti
RecruitGo

Remote Executive Assistant, Outreach and Marketing — Philippines

RecruitGo
51 – 200 Darbuotojai
KonsultavimasLogistikaRinkodara
PHFilipinai
45 000 ₱ / mėnuo
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųVadovo asistentas

Handle administrative support, CRM, outreach, and marketing for RecruitGo, an Employer of Record serving global clients with talent from emerging markets. Support two UK-facing clients with day-to-day administration and creative campaigns.

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