This is an Actuary position within the Risk Adjustment department. This position will require deep and significant analysis, and data mining, to ensure that accurate claims/encounter data. Develop mathematical modeling techniques and statistical concepts to determine probability and assess risks. This position will need to work closely with a multitude of departments, bei

Develop and implement business initiatives, client solutions, or projects affiliated with securities and derivatives settlement. Solve complex inquiries, conduct discovery and complete KYC due diligence activities for client onboarding requests incl. annual or regular reviews. Provide detailed analysis of escalated issues when necessary and recommend actions for resolutio

The Insurance Manager is a newly created position to support the growth and expansion of the company. This new role will be an influential leadership position and is responsible for the development and management of a comprehensive corporate risk management/insurance program with a concentration licensing, general liability, governance, risk identification, and risk mitig

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

The Data Analyst leads the technology process for the end to end Risk Adjustment Processing System (RAPS) and Encounter Data Processing System (EDPS) data flow and works within key regulator guidelines for acceptable data submission. Using SQL and SAS programs lead the gathering of data for submissions Risk Adjustment. As the senior analyst of data, will be responsible fo

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

The Ops Excellence Specialist I is responsible for applying Lean, Six Sigma and Project Management methodologies to deploy strategic projects aimed at reducing variation and eliminating waste within the Patient Access and Experience pillar. This includes harnessing technology and other innovations to improve the health of those we serve focusing on exceptional patient/con

The Experience Manager assists with controlling the optimization of the guest and employee experience by coordinating onsite service teams, training team members on enhanced engagement systems, and using recorded metrics to track and close service delivery gaps. This position reports into the Director of Experience. Key Responsibilities Experience Facilitation Owns the em

Patient Accounts Representative, Collections, Remote Req # 0000148177 Category Billing/Collections/Registration Status Full Time Shift Day Facility RWJBarnabas Health Corporate Services Department Patient Accounts Location System Business Office, 2 Crescent Place, Oceanport, NJ 07757 Job Summary The Patient Accounts Representative position supports the reduction of Accoun

Interface closely with leadership within Patient Care Services, Ancillary Services, Support Services and Administration. The scope of this key role will be to optimize all process improvement opportunities utilizing Six Sigma and Lean principles. Ideal candidate will have a proven track record of leveraging this skill set to produce real results. In addition, the role wil

INTELLECTUAL PROPERTY AND TECHNOLOGY TRANSFER SPECIALIST Camden, NJ Job ID 14705 Job Type Full Time Shift Day Specialty Other Professional About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o

At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o