(i.e. Pricing, claims, etc.). Monitor and trace loads so that follow up can be made to Customers regarding late pickups... of system analytics helpful Pay Range: $21.32 - $30.69 Hourly What we offer: Competitive starting salary commensurate...
: The primary purpose of this position is to execute key analysis and provide budget analytics for the Operations function..., adequate inventory levels and accurate claims or vendor notices. Review forecast data. Address critical fulfillment, inventory...
experience OR four (4) years related experience (healthcare billing, healthcare/medical claims, reimbursement, analytics.... Reviews all level auditor claims prior to and after client submission. Set by the audit: for the auditing concept, audit...
, Analytics, and other business areas to facilitate accurate translation and maintenance of contractual agreements into NetworX.... Collaborate with Network Management and Analytics to ensure proper capture of negotiated and modeled contractual agreements...
system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders... delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute...
system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders... delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute...
team, VIP Leaders, Marketing Technology/IT managers, software platform vendors, and analytics team members, to advance VIP... with Compliance, Responsible Gaming and other Risk Management team members as needed on guest claims and disputes to resolve conflicts...
network performance, contract renewals, and terminations, including aggregate and product-level performance analytics.... These departments include but are not limited to Claims, Care Management, EDI, Quality, Grievance and Appeal, Customer...
, such as analytics, cloud, and IoT. Salary: $60K/Annum Job Description: This process involves reviewing documents to ensure... filing of claims to mortgage insurance providers. Audit documentation to confirm proper processes are followed for the...
, such as analytics, cloud, and IoT Salary Range: $50K-$55K/Annum Job Description: This process involves reviewing documents... the proper filing of claims to mortgage insurance providers. Audit documentation to confirm proper processes are followed...
, which requires report development and analytics. Perform a variety of calculations, analyses and audits of financial and operational... or leaders and prepare templates or details to ensure operations are meeting expectations. Review operational claims, failures...
. Claims Settlement Analytics - Provides management with weekly claims settlement analytics and reports. 5. Manages vendor... for any finance related customer relationship management (CRM) request(s). 3. Claims Funding - Communicates weekly claims funding...
involving claims processing/adjudication, recipient/provider eligibility, and third-party liability. Proactively identify...: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third...
in policy administration, underwriting, claims processing and regulatory compliance supporting rating models, premium reporting... and downstream analytics. Act as technical resource on best practices, which may include technology or other business/functional...
-LM03 #LI-Hybrid About Us: For over 50 years, Verisk has been the leading data analytics and technology partner to the... with speed and precision - supports end-to-end claims handling with analytic and automation tools that streamline workflow...
, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
regularly with other MUSIC staff regarding the trends they see, especially Gallagher Bassett claims staff, the Risk Analytics... of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing...