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Centene Corporation
Centene Corporation
KonsaltingSog‘liqni saqlashSug‘urta
Centene Corporation davlat tomonidan qo‘llab-quvvatlanadigan tibbiy sug‘urta va jamoat salomatligiga e’tibor qaratadigan sog‘liqni saqlash va sug‘urta kompaniyasidir. Uning xizmatlari Medicaid, Medicare, Tibbiy sug‘urta bozori rejalari hamda harbiy jamoalar uchun TRICARE ko‘magini o‘z ichiga oladi. Centene o‘zi xizmat ko‘rsatadigan a’zolarning ehtiyojlarini qondirish uchun mahalliy tibbiy yordam ko‘rsatishni notijorat tashkilotlar bilan hamkorlik bilan uyg‘unlashtiradi. Kompaniya, shuningdek, faoliyat yuritish va jamoalarni qo‘llab-quvvatlash yondashuviga ekologik mas’uliyat hamda axloqiy boshqaruvni kiritadi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariFLFloridaMIMichiganMOMissuriNCShimoliy KarolinaTXTexas
56 200 $ – 101 000 $ / yil
MasofaviyTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaTahlilchi

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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

O‘xshash ish o‘rinlari

Terumo Medical Corporation

Region Manager, Terumo Interventional Systems Sales

Terumo Medical Corporation
1 001 – 5 000 Xodimlar
H1B vizasi homiysiIshlab chiqarishKonsaltingSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariNJNyu-Jersi
120 000 $ – 165 000 $ / yil
OfisdaTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMenejer

Lead medical device sales across a North Central New Jersey region, managing field teams and hospital relationships. Drive regional revenue, sales performance, and compliant promotion of Terumo Interventional Systems products.

Ochish