LogoFresh Jobs Ahead
Liberty Dental Plan
Liberty Dental Plan
1 001 – 5 000 Darbuotojai
KonsultavimasLogistikaSveikatos priežiūra
„Liberty Dental Plan“ yra Jungtinėse Amerikos Valstijose veikianti sveikatos priežiūros bendrovė, administruojanti odontologinio draudimo programas pagal „Medicaid“, įskaitant „Medi-Cal“, taip pat „Medicare Advantage“, komercinio, individualaus ir šeimos bei grupinio draudimo rinkose keliose valstijose. Jos paslaugos padeda nariams naudotis odontologų paieškos įrankiais, nario portalu, mobiliąja prieiga, žalos atlyginimo ir tinkamumo ištekliais. Gydymo paslaugų teikėjai gali naudotis specialiais įrankiais registracijai tinkle, žalos atlyginimo paraiškų teikimui, klinikinėms gairėms ir verte grindžiamos priežiūros programoms. Bendrovės veikla apima odontologinės priežiūros išmokų administravimą, paslaugų teikėjų tinklo valdymą, atitiktį reikalavimams, kvalifikacijos patikrą ir paramą nariams, odontologijos praktikoms bei brokeriams.
LinkedIn
Darbai įmonėje

System Configuration Analyst, Dental Claims

Configure and test dental claims and utilization management systems at Liberty Dental Plan. The role focuses on benefit logic, claims rules, audits, and member notifications.

USJungtinės Valstijos
65 000 $ – 75 000 $ / metai
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisPrivaloma Kalba: anglųAnalitikas

Aprašymas

  • Manage claims and utilization management projects from coordination through completion.
  • Review and process complex claims and utilization management cases.
  • Help implement benefits and configure claims and utilization management systems.
  • Work with cross-functional teams to build and maintain member notifications about claims and utilization management decisions and outcomes.
  • Contribute to research and new business implementation projects as needed.
  • Work with managers to develop, revise, and maintain departmental policies and procedures.
  • Review and test existing system code rules, then recommend improvements.
  • Test new and existing benefit configurations used in claims and utilization management adjudication.
  • Assist with implementing Crystal Reports for claims and utilization management work.
  • Carry out other assigned duties.

Reikalavimai

  • Bachelor’s degree.
  • At least two years of experience in PPO or HMO claims processing, billing, or auditing.
  • Proficiency with Microsoft Word, Excel, and Access.
  • Strong written and spoken communication and presentation skills.
  • Advanced analytical abilities, including data mining, reporting, and analysis.
  • Sound judgment and logical reasoning, with the ability to communicate effectively in varied circumstances.
  • Ability to manage multiple tasks efficiently amid interruptions or competing priorities.
  • Knowledge of HSP systems.
  • Knowledge of dental procedures.
  • Knowledge of HSP denial explanations.
  • Knowledge of service restrictions.
  • Basic data analytics experience.
  • Auditing experience preferred.
  • Must be able to work in the United States.
  • Visa sponsorship is not available at this time.

Privalumai

  • Competitive compensation structure and savings options.
  • 401(k) plan with employer matching, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
  • Affordable medical insurance, including low-cost employee-only premiums.
  • Dental coverage for employees and eligible dependents paid in full by the company.
  • Vision insurance with low-cost premiums for employees and dependents.
  • Company-paid basic life and AD&D coverage equal to one year of base salary, with the option to buy additional coverage.
  • Flexible Spending Accounts for healthcare and dependent care.
  • Optional accident, critical illness, and hospital indemnity coverage.
  • Long-term disability insurance.
  • Wellness programs, including company-wide challenges, BurnAlong memberships, and gym discounts.
  • Employee Assistance Program for mental health and well-being support.
  • Generous vacation and sick leave, with the ability to carry over unused time.
  • Ten paid company holidays.
  • Tuition reimbursement for eligible education expenses.
  • Remote or hybrid work options are available for various positions.

Susiję darbai

The Walt Disney Company

Principal Software Engineer, Video Coding and Media Processing

The Walt Disney Company
H1B vizos rėmėjasKelionėsMaistas ir gėrimaiSvetingumo sektorius
USJungtinės ValstijosCAKalifornijaNCŠiaurės Karolina
209 500 $ – 280 900 $ / metai
HibridinisVisas etatasVadovasPrivaloma Kalba: anglųFull-stack inžinieriusPrograminės įrangos inžinierius
C++Python

Lead research and development in video coding, media processing, and AI-driven streaming at Disney. Shape technical standards, platform architecture, and long-term product strategy.

Atidaryti
Capital One

Senior Full-Stack Engineer, Mainframe and Cloud Resilience

Capital One
H1B vizos rėmėjasBankininkystėFinansaiFintech
USJungtinės ValstijosILIlinojusVAVirdžinija
179 400 $ – 225 100 $ / metai
HibridinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųFull-stack inžinieriusPrograminės įrangos inžinierius
Atvirasis kodasAWSAzureDebesijaDockerGoGoogle Cloud PlatformJavaJavaScriptKubernetesNode.jsNoSQLPaskirstytosios sistemosPythonRustScalaTypeScript

Lead engineering work to modernize Capital One’s IBM mainframe systems and strengthen cloud operations. Build resilient software with Agile teams using AWS and related technologies.

Atidaryti
The Walt Disney Company

Software Engineer II, ML Observability

The Walt Disney Company
H1B vizos rėmėjasKelionėsMaistas ir gėrimaiSvetingumo sektorius
USJungtinės ValstijosCAKalifornijaNYNiujorkas
119 200 $ – 167 400 $ / metai
HibridinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųFull-stack inžinieriusPrograminės įrangos inžinierius
AWSDebesijaDockerFlaskGrafanaMikropaslaugosPandasPySparkPythonPyTorchSparkTensorFlow

Build machine learning anomaly detection and observability systems for Disney+, Hulu, and ESPN. Develop production models, telemetry pipelines, inference services, and AI-powered operational insights.

Atidaryti
The Walt Disney Company

Software Engineer II, Ad Platform CRM Analytics

The Walt Disney Company
H1B vizos rėmėjasKelionėsMaistas ir gėrimaiSvetingumo sektorius
USJungtinės ValstijosNYNiujorkasWAVašingtonas
124 900 $ – 167 400 $ / metai
HibridinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųFull-stack inžinieriusPrograminės įrangos inžinierius
Atvirasis kodasAWSDebesijaKafkaNoSQLSQL

Build Salesforce CRM Analytics applications for Disney’s advertising platforms. Develop scalable, secure web solutions spanning media, sports, news, and entertainment.

Atidaryti
The Walt Disney Company

Principal Software Engineer, Video Coding and Streaming

The Walt Disney Company
H1B vizos rėmėjasKelionėsMaistas ir gėrimaiSvetingumo sektorius
USJungtinės ValstijosCAKalifornijaNCŠiaurės Karolina
209 500 $ – 280 900 $ / metai
Darbas vietojeVisas etatasVadovasPrivaloma Kalba: anglųFull-stack inžinieriusPrograminės įrangos inžinierius
C++Python

Lead research and development in video coding, processing, and streaming, with a focus on machine learning and AI. Shape platform architecture, contribute to industry standards, and advance technical work across Disney’s global team.

Atidaryti
The Walt Disney Company

Software Engineer II, React and TypeScript

The Walt Disney Company
H1B vizos rėmėjasKelionėsMaistas ir gėrimaiSvetingumo sektorius
USJungtinės ValstijosCAKalifornijaWAVašingtonas
119 200 $ – 175 100 $ / metai
HibridinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųFull-stack inžinieriusPrograminės įrangos inžinierius
JavaScriptJestMochaNext.jsNode.jsReactSCSSSDLCTypeScript

Build scalable React interfaces for Disney advertising platforms and media products. Develop accessible, well-tested user experiences across the company.

Atidaryti