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Research potential overpayment scenarios through the use of client policies and provider contracts, seeking to identify overpaid claims used to build recurring algorithms Identify and refine criteria to successfully build and enhance new and existing algorithm logic ensuring correct claim payment Research and quickly Identify patterns of claim payment abnormalities through big data analysis Develo
Posted Today
Principal Financial Group
- Kansas City, MO / Austin, TX / Salt Lake City, UT / 11 more...
Serve as primary point of contact for Client Service Associates or Managers for existing ESOP administration clients to address strategic issues and identify consulting opportunities. Build strong relationships to retain assigned clients. Coordinate with Account Executive (AE)/Relationship Manager (RM) for other RIS offerings to provide a consistent experience for existing clients. Provide proacti
Posted 18 days ago
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) Primary Responsibilities Provider education programs, training, relations and service Follow up after pharm
Posted Today
At Optum, we are driven to transform health care not just for our own good, but for the greater good. And, with your data reporting and analysis expertise, you can join us on our mission to help make the health care system work better for everyone. As a Data Analyst, you will thrive as you design and implement data warehouse solutions. You will be a primary contributor in developing, testing, and
Posted Today
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. Here you'll develop and execute the strategies that impact our ability to help people live healthier lives. As a Manager of Health Care Economics , you will guide your team to identify potential areas for medical cost improvements and alternati
Posted Today
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Through our family of businesses and a lot of inspired individuals, we're building a high performance Healthcare system that works bet
Posted 7 days ago
Welcome to one of the toughest and most fulfilling ways tohelp people, including yourself. We offer the latest tools, most intensivetraining program in the industry and nearly limitless opportunities foradvancement. Join us and start doing your life's best work.(sm) You will be required to work on site in the Bentwood, TNlocation since most of the employees work in this office. This position super
Posted 15 days ago
No industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealth Group. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. The Fraud Analytics Statistician will write SAS programs to identify medical claims that are suspect for fraud and will provide su
Posted Today
Insurance Sales Agents are responsible for providing information and prices to clients on the products and services of Direct, and closing sales on those products to develop long term relationships for Direct with existing or prospective clients. Agents also assist in the development and execution of insurance sales and marketing campaigns that may extend outside the center to attain business goal
Posted Today
Insurance Sales Agents are responsible for providing information and prices to clients on the products and services of Direct, and closing sales on those products to develop long term relationships for Direct with existing or prospective clients. Individuals in this role will assist phone customers and support channel partners in both retail offices and web operations. PRIMARY RESPONSIBILITIES Inb
Posted Today
Responsibilities Review and investigate alerts through AML monitoring system. Research and make determination about disposition and further necessary action, through detailed investigation of individual transactions. Review and monitor client accounts for potential matches to designated sanctions targets and prohibited persons’ lists Navigate banking systems to obtain account statements, tra
Posted 1 day ago
Job Reference # 154040BR Business Divisions Corporate Center Your role Are you risk averse? Do you know how to maintain independence and objectivity? We are looking for someone like that who can perform second line of defense cross divisional surveillance and control testing activities in relation to consequential risks ensure risk frameworks are designed well and operating effectively deliver ind
Posted 11 days ago
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