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HealthEdge
HealthEdge
1 001 – 5 000 Xodimlar
H1B vizasi homiysiKonsaltingSog‘liqni saqlashTibbiy sug‘urta
HealthEdge HealthRules Solutions Suite orqali tibbiy sug‘urta tashkilotlari uchun texnologiyalar ishlab chiqadi. Kompaniyaning platformalar portfeli raqamli da’volarni boshqarish, tibbiy yordamni boshqarish ish jarayonlari va to‘lovlar aniqligini qamrab oladi. Bu yechimlar tibbiy sug‘urta rejalari uchun operatsion ma’lumotlarni birlashtirish, asosiy jarayonlarni avtomatlashtirish, to‘lovlar aniqligini oshirish va a’zolar uchun yaxshiroq xizmat tajribasini ta’minlashga yordam beradi. Sog‘liqni saqlash va tibbiy sug‘urtaga e’tibor qaratadigan HealthEdge sug‘urta tashkilotlariga samaraliroq ishlash va tibbiy yordamni yanada yaxshi muvofiqlashtirishda ko‘maklashish uchun dasturiy ta’minot hamda konsalting tajribasini birlashtiradi.
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Kompaniyadagi ish o‘rinlari

Medicaid Claims Examiner II

HealthEdge is seeking a Medicaid Claims Examiner II to adjudicate healthcare claims, assess coding and coverage criteria, review claim edits, and support junior examiners.

USAmerika Qo‘shma ShtatlariMasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaSug‘urta da’volari bo‘yicha mutaxassis

Tavsif

  • Adjudicate healthcare claims according to established policies and procedures
  • Analyze claims system data to verify service appropriateness and benefit coverage
  • Evaluate adjudication edits to determine payment decisions for claims and line items
  • Process assigned claims under client guidelines or team leader direction
  • Achieve productivity goals alongside financial and procedural accuracy standards
  • Provide mentorship to junior team members
  • Support special projects involving process documentation, training, quality audits, and client surge activity
  • Keep management informed about issues and concerns
  • Apply preventive controls to maintain processing accuracy and quality
  • Contribute to projects involving provider data, authorizations, enrollment, and related activities

Talablar

  • High school diploma required
  • One to three years of healthcare claims processing experience
  • Ability to analyze claims data effectively
  • Understanding of physician and hospital coding, billing, and medical terminology
  • Knowledge of CPT, HCPCS, and ICD-10
  • Familiarity with UB-04 and CMS-1500 forms
  • Knowledge of healthcare authorizations and related concepts
  • Additional ICD-10, CPT, and HCPCS coding experience is a plus
  • Willingness to develop new skills
  • Collaborative approach to teamwork
  • Strong work ethic
  • Ability to adapt quickly in a fast-paced environment
  • Self-motivated with the ability to learn quickly
  • Ability to contribute effectively as a team player
  • Ability to work across multiple time zones in a hybrid or remote environment
  • Candidates may need to complete a pre-employment criminal background check

Imtiyozlar

  • Full-time, permanent position
  • Remote work environment
  • Travel may be required based on company needs
  • Reasonable accommodations available for individuals with disabilities
  • Equal opportunity employer committed to workforce diversity

O‘xshash ish o‘rinlari

The Nursing and Midwifery Council

Head of Legal Services Transformation

The Nursing and Midwifery Council
501 – 1 000 Xodimlar
NotijoratSog‘liqni saqlashTibbiy sug‘urta
GBBuyuk Britaniya
81 924 £ – 97 879 £ / yil
GibridTo‘liq stavkaYetakchiTalab Qilinadigan Til: inglizchaBosh yuridik maslahatchi

Lead the Nursing and Midwifery Council’s legal services transformation, shaping its future operating model and strengthening legal capability. Partner with senior leaders to guide governance, organisational change and lasting adoption.

Ochish
Stitch Fix

Head of Technology Portfolio and Program Management

Stitch Fix
5 001 – 10 000 Xodimlar
H1B vizasi homiysiKonsaltingLogistikaMarketing
USAmerika Qo‘shma Shtatlari
198 000 $ – 330 000 $ / yil
MasofaviyTo‘liq stavkaYetakchiTalab Qilinadigan Til: inglizchaBosh texnologiya direktori

Lead technology portfolio planning and program management at Stitch Fix, connecting product, engineering, and business investments to measurable outcomes. The role supports the company’s personalized retail model through data science and AI.

Ochish
Stitch Fix

Distinguished Architect, Enterprise Technology

Stitch Fix
5 001 – 10 000 Xodimlar
H1B vizasi homiysiKonsaltingLogistikaMarketing
USAmerika Qo‘shma Shtatlari
204 800 $ – 341 000 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaArxitektor
BulutTaqsimlangan tizimlar

Set the architectural direction for Stitch Fix’s personalized retail technology, guiding modernization across cloud, data, and AI. Advise executives on resilient platforms and long-term engineering investments.

Ochish
Trowers & Hamlins

Senior Associate or Legal Director, Leasehold Enfranchisement – Birmingham (Hybrid)

Trowers & Hamlins
1 001 – 5 000 Xodimlar
HuquqKo‘chmas mulkQurilish
GBBuyuk BritaniyaGibridTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaBosh yuridik maslahatchi

Advise landlords, investors, developers and tenants on lease extensions, collective enfranchisement and Right to Manage claims. The role also covers tenants’ rights of first refusal, enfranchisement reform and related property disputes.

Ochish