Support analytical operations of Provider Services by performing data analyses and creating reports.
Evaluate provider network adequacy and performance via data modeling, analysis, and reporting.
Complete reports and projects for teams like Provider Services, Client Services, Implementation, and Sales.
Navitus is a pharmacy benefit manager (PBM) alternative committed to reducing drug costs and making medications more affordable. They value diversity, creativity, and growth, and focus on excellent service.
Create and update records with new files and information in an electronic database.
Ensure sensitive information is safeguarded and maintain organized filing.
Input paperwork into the database and perform accurate data entry tasks.
We are the best auto dealer with the widest collection of Chevrolet cars, trucks, and SUVs in Fayette, Alabama, offering the best price and financing service. Our team of professional technicians provides repair and maintenance services, and we are looking for passionate individuals to grow with us.
Manage provider network activities, including onboarding, maintenance, and relationship support.
Serve as primary contact for assigned providers, addressing inquiries and resolving issues.
Analyze network data, identify trends, and recommend improvements to enhance access and quality.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to streamline recruitment and match top talent with relevant roles.
Gathers and analyzes data on institutional performance and student outcomes to guide strategic planning.
Creates dashboards and visualization materials for executive teams and governance councils.
Supports accreditation and compliance processes by providing necessary data and documentation.
Santa Fe Community College is a Hispanic-serving institution providing affordable, high-quality educational programs. The college serves over 13,000 students per year and is designated a Best for Vets and Military Friendly school.
Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
Enroll providers with Medicare, Medicaid, and commercial insurance payers.
Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.
Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.
Review healthcare claims and determine appropriate payment methodologies based on contractual terms and client requirements.
Analyze claim information and system data to ensure accurate repricing while meeting productivity and quality metrics.
Collaborate with internal audit and operational teams to support compliance, quality assurance, and process improvement initiatives.
The company provides healthcare claims review and repricing services. It operates remotely with a focus on compliance, accuracy, and continuous improvement.
Maintain accurate caregiver supervision records within HHA Exchange (HHAX) and ensure proper documentation of nursing supervisory visits.
Update caregiver compliance profiles, upload supervision forms, and verify documentation for accuracy and completeness.
Communicate with clinical staff regarding incomplete documentation and assist with audits and compliance-related tasks.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. They leverage a global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Manage database administration and technical support for risk management systems such as Riskonnect and OnBase.
Perform data analysis, create reports, and ensure data integrity for insurance lines.
Collaborate with ITG, vendors, and internal teams to support system upgrades and process improvements.
OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance in a system of hospitals and clinics, and is committed to building an anti-racist, multicultural institution.
Analyze and define medical group contracts for various payers including Medicare, Medicaid, and Commercial.
Interpret payer contracts and reimbursement provisions for accurate system configuration.
Validate claim valuations and troubleshoot discrepancies to ensure proper reimbursement.
Experian is a global data and technology company that powers opportunities for people and businesses worldwide. With over 25,200 employees across 32 countries, we foster a people-first, inclusive culture.
Apply specialized clinical knowledge to categorize, code, and interpret registry data from patient medical records.
Ensure quality submission of data in specified registries, maintaining high accuracy standards.
Prioritize tasks, meet tight deadlines, and troubleshoot technical issues with EMR systems.
Q-Centrix partners with hospitals to deliver quality clinical data solutions, specializing in cancer registry and data abstraction. With a remote-first culture and employee-centric leadership, the company has earned the Great Place to Work distinction multiple years.
Gather, analyze, and document business, technical, and clinical requirements for AI-driven patient health data summarization, including user stories, process flows, and acceptance criteria.
Analyze C-CDA clinical documents and map clinical information to healthcare interoperability standards, ensuring traceability and data quality.
Collaborate with clinicians, data scientists, and engineers in Agile ceremonies to validate AI-generated clinical summaries and support User Acceptance Testing.
VetsEZ supports large federal government healthcare modernization projects, including AI-driven clinical decision support. The company fosters a collaborative, Agile culture with multidisciplinary teams focused on delivering quality healthcare IT solutions.
Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.
Analyze and interpret alphabetic, numeric, scanned, and database records from UCC filings and other digital sources.
Enter data accurately and efficiently into internal systems following established formatting and classification standards.
Review records for completeness, accuracy, and consistency, and identify and correct omissions and formatting issues.
SkillerszoneLLC is a leader in data-driven solutions for the trucking, agriculture, and construction industries. We’re passionate about valuing our associates for their unique skills, ideas, and backgrounds, and we’re committed to building an inclusive, innovative workplace where everyone can thrive.
Submit provider and organizational contract requests to commercial, Medicare, Medicaid, and managed care payers.
Monitor contract application status and maintain detailed tracking of all submissions and negotiations.
Coordinate with internal teams to facilitate successful implementation of newly executed agreements.
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and maintain a fully remote culture focused on collaboration and personal connection.
Plan, lead, and oversee projects using project management processes to meet deadlines and budgeted costs.
Analyze and research business problems, design innovative solutions, and develop/maintain programs for the clinical data repository.
Collaborate with customers and IT, conduct tests, and provide off-hours support to ensure quality and service.
Capital Blue Cross is a health insurance company and independent licensee of the Blue Cross Blue Shield Association. They provide health insurance plans and services to members in Pennsylvania and are an equal opportunity employer.
Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
Maintain accurate provider records, monitor deadlines, and communicate with stakeholders to prevent delays.
The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.
Research and verify healthcare providers to maintain a high-quality database.
Interpret health insurance benefits and explain coverage to support care teams.
Coordinate medical records collection to prevent delays and improve efficiency.
Private Health Management guides patients through the complexities of serious medical care, acting as an independent advocate and trusted partner. The company is a remote organization with employees across the United States, emphasizing teamwork and high-quality support.
Research and follow up on unpaid insurance claims via mail and phone.
Review and appeal underpaid or rejected claims, coordinating with collection agencies as needed.
Respond to customer inquiries, resolve billing discrepancies, and maintain accurate records.
Accendra Health simplifies healthcare by delivering essential products and services beyond traditional settings, with a focus on home-based care. With over 6,000 teammates across 250 locations nationwide under the Apria and Byram Healthcare brands, we are dedicated to personalized care and accessible health solutions.
Enter and update information in company systems and review records for accuracy.
Organize digital files and documentation, flagging missing or incorrect information.
Maintain accurate databases and follow established record-keeping procedures.
Bilgewater Group is an organization focused on maintaining accurate company records and data systems. The postng does not provide details on company size or culture.
Lead programmatic and analytical support across a portfolio of digital health initiatives.
Develop executive-level reporting, dashboards, and data-driven insights for stakeholders.
Coordinate meetings, track performance, and ensure alignment with organizational objectives.
The hiring partner company is engaged in complex digital health initiatives within a federal healthcare environment. It offers a remote, dynamic work environment focused on innovation and mission-driven outcomes.