2384 health plan jobs found

Req ID: 199007 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Sales Executive III- Health Plans/Payers Only (remote) to join our team in Remote East Coast, United States (US). This is a full-time, 100% remote position, based anywhere on the East Coast. Responsibilities Hunter role Drives services sales strategies that help drive exponential sales growth Requires strategic agility to interface and successfully influence multiple C-level executives within the customer organization Sells to large national and regional accounts Sells digital and managed services, full IT Outsourcing solutions, application services and industry vertical solutions to include things like digital solutions, mobile solutions, transformational services, managed services, application management/support....

Req ID: 204702 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Solution Architect - Cloud to join our team. This position will work remotely from your home office located within the US. NTT DATA Services is committed to improving patient outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the healthcare space, the company delivers targeted segment solutions including patient engagement, predictive analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, in addition to core managed infrastructure, application and business process services. Clients include more than 1,800 hospitals, 2,200 long-term care facilities, 225 acute care facilities,...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Vantage Health Plan, Inc ., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Job Summary: The Medical Management Appeals Specialist in the Case Management Division is responsible for researching and preparing assigned appeals that have potential for secondary and external review. Essential Duties & Responsibilities: • Responsible for handling assigned appeals based on the following: All Member appeals for all lines of business. All Medicare provider appeals from non-contracted providers. • Research and prepare all qualifying appeals for review. This includes the gathering and case formatting but is not limited to: Research of CMS and VHP policy for claim processing, covered benefits, allowed services, internal decision history, internal claim...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. We are looking for an experienced Senior Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting. Responsibilities require solid understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Great account management is the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) Management of the Account Management and Service Consultant staff for the UnitedHealth Care Key Accounts responsible for customer retention and NBEA sales in the 100 to 5,000+ employee range. Responsible for the overall sale of NBEA business and the retention of existing accounts. Primary Responsibilities: Management: Manage and monitor client assignments Training...

At Vantage Health Plan, Inc ., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). **Additional earnings opportunities are available for licensed (Health & Accident) Member Services Representatives through our internal incentive program!** Job Summary: The Member Service Representative (MSR) is responsible for utilizing in-depth knowledge of company products over multiple lines of business to provide both telephonic and in-person service and support to Vantage Health Plan, Inc. customers in a timely, professional, and hospitable manner. Essential Duties & Responsibilities: • Maintain a positive, empathetic, and professional attitude in all customer interactions • Assist customers with questions, concerns, and complaints; acknowledging and...